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Individual

DR. HAIDEE I PIDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-7068
Mailing address
7989 MUNSON RD, SODUS, NY 14551-9613
(315) 946-5722
(315) 946-7068

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NY164459
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01014740
NY
Enumeration date
12/12/2006
Last updated
02/22/2016
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