Provider Demographics
NPI:1831379684
Name:MARIA BIDNY, DPM, PC
Entity type:Organization
Organization Name:MARIA BIDNY, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDNY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:517-437-4777
Mailing Address - Street 1:1131 N OSSEO RD
Mailing Address - Street 2:PO BOX 187
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9714
Mailing Address - Country:US
Mailing Address - Phone:517-523-3695
Mailing Address - Fax:
Practice Address - Street 1:1340 S HILLSDALE RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9367
Practice Address - Country:US
Practice Address - Phone:517-437-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001884261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5907310001Medicare NSC
MIU13499Medicare UPIN
MI0P29400Medicare PIN