Individual
EDWARD M CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6080 JERICHO TPKE, SUITE 314, COMMACK, NY 11725-2850
(631) 462-2200
(866) 852-5985
Mailing address
6080 JERICHO TPKE, SUITE 314, COMMACK, NY 11725-2850
(631) 462-2200
(866) 852-5985
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
127245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080165
GHI HMO
NY
05
—
02215447
—
NY
01
—
2190581
CIGNA
NY
01
—
230035
GHI PPO
NY
01
—
3444104
AETNA/US HEALTHCARE HMO
NY
01
—
3C6337
HEALTH NET
NY
01
—
4312729
AETNA/US HEALTHCARE
NY
01
—
EC094S0510
EMPIRE BCBS-NY
NY
01
—
P3194859
OXFORD HEALTH PLAN
NY
Enumeration date
07/19/2006
Last updated
07/31/2012
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