Organization
AMIDON MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D AMIDON DO (MANAGING MEMBER)
(315) 507-5081
Entity
Organization
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5081
(315) 738-1663
Mailing address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5081
(315) 738-1663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
192498
NY
Other
Enumeration date
02/14/2014
Last updated
03/01/2019
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