Individual
MR. EDWIN A VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1801 BLACK RIVER BLVD N, ROME, NY 13440-2427
(315) 337-3770
Mailing address
5 MASONIC AVE, CAMDEN, NY 13316-1234
(315) 245-3192
(315) 245-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332873
NY
Other
Enumeration date
12/22/2006
Last updated
12/05/2012
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