Organization
SUNY DOWNSTATE MEDICAL CENTER
Active
Other names
downstate medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDISON SAMUEL ANDREWS PA (PHYSICIAN ASSISTANT)
(718) 270-8961
Entity
Organization
Contact information
Practice address
1486 DUNBAR STREET, FARROCKAWAY, NY 11691
(718) 471-0798
Mailing address
1486 DUNBAR ST, FAR ROCKAWAY, NY 11691-1648
(718) 471-0798
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007920
PA LICENCE #
NY
Enumeration date
02/06/2009
Last updated
02/06/2009
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