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Individual

EDWIDGE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ANP

Contact information

Practice address
345 E 24TH ST, SUITE 1B, NEW YORK, NY 10010-4020
(212) 998-9420
(212) 995-4243
Mailing address
345 E 24TH ST, SUITE 1B, NEW YORK, NY 10010-4020
(212) 998-9420
(212) 995-4243

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300839
NY

Other

Enumeration date
02/06/2007
Last updated
06/16/2010
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