Individual
MR. EDNER REGISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11572 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1028
(718) 276-8666
Mailing address
166 ROQUETTE AVE, ELMONT, NY 11003-1209
(347) 679-5443
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006837
NY
213E00000X
Podiatrist
Primary
R93136
NY
Other
Enumeration date
06/28/2014
Last updated
06/01/2018
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