Individual
EDWARD CONWAY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, BIMC DEPT OF PEDIATRICS, NEW YORK, NY 10003-3314
(212) 844-1333
Mailing address
PO BOX 32889, HARTFORD, CT 06150-2889
(212) 844-1333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
162704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01179217
—
NY
Enumeration date
11/07/2005
Last updated
07/08/2007
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