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Contact Information

MICHAEL POLIDORO, PA
375 E MAIN ST
STE 1
BAY SHORE, NY11706-8418
 Phone: 631-665-8790
 Fax: 631-665-1581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL POLIDORO · (Male)

NPI Number 1043236375
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
NY License # 009063
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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