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Organization
SUNY DOWNSTATE MEDICAL CENTER
Active
Organization
SUNY DOWNSTATE MEDICAL CENTER
Active
Other names
downstate medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDISON SAMUEL ANDREWS PA (PHYSICIAN ASSISTANT)
(718) 270-8961
Entity
Organization
Contact information
Practice address
1486 DUNBAR STREET, FARROCKAWAY, NY 11691
(718) 471-0798
Mailing address
1486 DUNBAR ST, FAR ROCKAWAY, NY 11691-1648
(718) 471-0798
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007920
PA LICENCE #
NY
Enumeration date
02/06/2009
Last updated
02/06/2009
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