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Organization
LINDA E EDNALINO MD PC
Active
Organization
LINDA E EDNALINO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA EDNALINO (PRESIDENT)
(516) 761-5318
Entity
Organization
Contact information
Practice address
1963 ROCKAWAY PKWY, BROOKLYN, NY 11236-5505
(718) 241-1513
Mailing address
849 MOORE ST, WOODMERE, NY 11598-2315
(516) 761-5318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153923-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D581
PTAN (BROOKLYN)
NY
01
—
63263
PTAN (QUEENS)
NY
Enumeration date
03/21/2013
Last updated
04/10/2013
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