Individual
SHARON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
312 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-2900
(212) 423-2920
Mailing address
312 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-2900
(212) 423-2920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
182272
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
182272
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
182272-1
NY
Other
Enumeration date
07/21/2006
Last updated
03/26/2013
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