Individual
DR. EDWARD LEWIS REASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-3400
(315) 287-0998
Mailing address
77 W BARNEY ST, P.O. BOX 149, GOUVERNEUR, NY 13642-1040
(315) 287-3400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167037-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00971513
—
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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