Organization
EDWARDS AND SISAM LLC
Active
Other names
Women's Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALBERT EDWARDS MD (OWNER)
(585) 344-4700
Entity
Organization
Contact information
Practice address
215 SUMMIT ST, BATAVIA, NY 14020-1649
(585) 344-4700
(585) 345-4191
Mailing address
215 SUMMIT ST, BATAVIA, NY 14020-1649
(585) 344-4700
(585) 345-4191
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
216110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025117002
UNIVERA
NY
01
—
000526067002
BCBSWNY
NY
05
—
02147804
—
NY
01
—
0298063
GHI
NY
01
—
105570CK
PREFERREDCARE
NY
01
—
10600580
FIDELIS
NY
Enumeration date
04/02/2007
Last updated
08/22/2020
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