Organization
EDISON CDPAP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL A. WEISS (PRESIDENT)
(718) 972-2929
Entity
Organization
Contact information
Practice address
946 MCDONALD AVE, BROOKLYN, NY 11218-5612
(718) 972-2929
(718) 972-2323
Mailing address
946 MCDONALD AVE, BROOKLYN, NY 11218-5612
71897222929
(718) 972-2323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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