Mr. Andrew James Fidurko
Social Worker
74 Bunner St
Oswego
, New York 13126-3357
Mr. Andrew James Fidurko
Social Worker
74 Bunner St
Oswego
, New York 13126-3357
(315) 326-4100
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Mr. Andrew James Fidurko
- 74 Bunner St
- Oswego, NY
- Zip : 13126-3357
- Phone : (315) 326-4100
Second Address
- Mr. Andrew James Fidurko
- 74 Bunner St
- Oswego, NY
- Zip : 13126-3357
- Phone : (315) 326-4100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 081157 | NY |
National Provider Identifier
| NPI | 1003452939 |
|---|---|
| Provider Name | Mr. Andrew James Fidurko |
| First Address | Oswego, NY 13126-3357 |
| Second Address | Oswego, NY 13126-3357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/11/2019 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.