Individual
ALLISON EDWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(212) 683-8905
Mailing address
236 2ND AVE, NEW YORK, NY 10003-2704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1282850
NY
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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