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Individual

MICHAEL M BUDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
438 MAIN ST, ONEONTA, NY 13820
(607) 432-5563
(607) 432-2437
Mailing address
438 MAIN ST, ONEONTA, NY 13820
(607) 432-5563
(607) 432-2437

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
169632
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026311
GHI HMO
05
01226219
NY
01
126311
WELLCARE
01
169632
NYS LICENSE
01
222694570
TAX ID
01
248001
MVP VENDOR NUMBER
01
24811
MVP VENDOR NUMBER
01
340004206
RR MEDICARE
01
5671
CDPHP GROUP NUMBER
01
9599758
GHI PPO
01
MB054T7210
DOWN MEDICARE
Enumeration date
04/25/2006
Last updated
03/15/2010
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