Individual
DR. EDWARD DENEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6097TUV
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157939
PROVIDER
NY
01
—
163
PROVIDER
NY
01
—
50593
PROVIDER
NY
01
—
66599326
PROVIDER
NY
01
—
7182561
PROVIDER
NY
01
—
864
STORE
NY
01
—
V73
STORE
NY
Enumeration date
01/04/2007
Last updated
07/08/2007
Update your record
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