Individual
JOSEPH S EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 BRONXDALE AVE, SUITE 202, BRONX, NY 10462-3388
(718) 863-8695
(718) 863-5147
Mailing address
4422 3RD AVE, DEPT OF SURGERY, BRONX, NY 10457-2545
(718) 960-6127
(718) 960-6132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
153953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00846557
—
NY
01
—
0198999
GHI
NY
01
—
231280
WORKERS COMPENSATION
NY
01
—
26D801
EMPIRE BLUE CROSS BLUE SH
NY
01
—
26D803
EMPIRE BLUE CROSS
NY
01
—
27973P
HIP
NY
01
—
56516
AETNA-US HEALTHCARE
NY
01
—
P2631535
OXFORD
NY
Enumeration date
01/04/2007
Last updated
07/08/2007
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