# EDEN GROUP HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720894371
- **Authorized official:** SHERILL L LYM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (201) 788-9665

## Contact information

- **Practice address:** 418 BROADWAY STE N, ALBANY, NY 12207-2922
- **Practice address phone:** (201) 788-9665
- **Practice address fax:** (201) 569-2433
- **Mailing address:** 418 BROADWAY STE N, ALBANY, NY 12207-2922
- **Mailing address phone:** (201) 788-9665
- **Mailing address fax:** (201) 569-2433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 06/12/2025