Individual
DR. MICHAEL G TEDFORD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
254 ROUTE 17K STE 204, NEWBURGH, NY 12550
(845) 561-4466
(845) 561-7190
Mailing address
254 ROUTE 17K STE 204, NEWBURGH, NY 12550-8300
(845) 561-4466
(845) 561-7190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
203269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01899169
—
NY
Enumeration date
11/14/2006
Last updated
08/28/2018
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