Individual
ANTHONY IGNATIUS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL, MANHASSET, NY 11030
(516) 562-0100
Mailing address
81-39 246TH STREET, BELLEROSE, NY 11426
(718) 343-6499
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005936
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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