Individual
ELLEN I EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18975 COLLINS AVE UNIT 1602, SUNNY ISL BCH, FL 33160-2357
(718) 790-7530
(717) 544-4201
Mailing address
1311 BRIGHTWATER AVE, APT 18IJ, BROOKLYN, NY 11235-5962
(347) 634-9425
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME129771
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
259540
NY
2084N0600X
Clinical Neurophysiology Physician
ME129771
FL
Other
Enumeration date
01/18/2011
Last updated
03/26/2024
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