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Individual

DR. GORDON A R. EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., PSY.D.

Contact information

Practice address
1885 DR MARTIN L KING JR BLVD, (1885 UNIVERSITY AVE), BRONX, NY 10453-4403
(646) 320-9091
Mailing address
1872 DR MARTIN L KING JR BLVD, (1872 UINVERSITY AVE), BRONX, NY 10453-4489
(718) 294-1185

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
587
NY
106H00000X
Marriage & Family Therapist
Primary
347
NY

Other

Enumeration date
12/11/2006
Last updated
03/07/2011
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