Individual
DR. EDWARD NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733
(631) 444-0580
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
176376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01099105
—
NY
01
—
32E96
EMPIRE BC.BS
NY
01
—
5333007
AETNA
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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