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Individual

MR. EDWARD JOSEPH SISK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS , RYT200

Contact information

Practice address
337 WARREN ST, HUDSON, NY 12534-2437
(518) 828-4322
Mailing address
7 JANIS ST, HUDSON, NY 12534-2714
(518) 828-4322

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
90683
NY
174H00000X
Health Educator

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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