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Organization

SNY CARE OF NY IV LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (DIRECTOR)
(615) 733-2064
Entity
Organization

Contact information

Practice address
1131 ROUTE 55 STE 1A, LAGRANGEVILLE, NY 12540-5054
(615) 733-2064
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 733-2064

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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