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Organization
LINDA EDNALINO MD PC
Active
Organization
LINDA EDNALINO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA EDNALINO MD (OWNER)
(212) 255-2333
Entity
Organization
Contact information
Practice address
9015 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1531
(718) 241-1513
Mailing address
849 MOORE ST, WOODMERE, NY 11598-2315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803443
—
NY
01
—
0521971
AETNA
NY
01
—
153923-C24
HEALTH FIRST
NC
01
—
253AR1
EMPIRE BCBS
NY
01
—
45100P
HIP
NY
01
—
5C4831
HEALTH NET
NY
01
—
P400951
OXFORD
NY
Enumeration date
03/20/2007
Last updated
08/22/2020
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