Individual
EDWARD NAUMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 ROUTE 9, SUITE 105, CLIFTON PARK, NY 12065-2411
(518) 383-2366
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02430266
—
NY
Enumeration date
10/25/2006
Last updated
12/07/2007
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