Individual
DR. ELIZABETH EDWARDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720910
—
NY
Enumeration date
07/13/2006
Last updated
03/30/2012
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