Organization
ALBERT E EDANO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT E EDANO MD (PRESIDENT)
(516) 792-0789
Entity
Organization
Contact information
Practice address
1963 ROCKAWAY PKWY, BROOKLYN, NY 11236-5505
(718) 241-1513
(718) 241-1513
Mailing address
741 TURF RD, VALLEY STREAM, NY 11581-3505
(516) 792-0789
(516) 792-0789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198162-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01591400
—
NY
Enumeration date
05/25/2011
Last updated
05/25/2011
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