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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TODD WILLIAM FEDYSHYN, SERVICE COORDINATOR

Active Sole Proprietor

TODD WILLIAM FEDYSHYN, SERVICE COORDINATOR is a Case Management Agency healthcare provider located in JOHNSON CITY, New York. NPI 1639835010 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · JOHNSON CITY, NY

Registration Details

NPI Number
1639835010
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2021 (4.7963406369125 yrs)
Last Updated
Nov 10, 2021
Sole Proprietor
Yes

Practice Information

Address
45 BREWSTER ST
JOHNSON CITY, NY, 137902835
Browse NY providers · Browse ZIP 13790
Phone
6073519352
Primary Specialty
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.