Individual
DR. EDWARD V CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 973-8265
(607) 937-1089
Mailing address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 973-8265
(607) 937-1089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019042000001
—
PA
05
—
00370503
—
NY
01
—
AA0598
MEDICARE GROUP
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
07/05/2005
Last updated
04/02/2008
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