Individual
EDWARD WILLIAM SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-4182
(631) 761-4184
Mailing address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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