Individual
EDGAR A JAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5108
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
274939
NY
207RN0300X
Nephrology Physician
28897
AL
207RN0300X
Nephrology Physician
ME84249
FL
208M00000X
Hospitalist Physician
ME84249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051590554
BCBS
AL
01
—
051590555
BCBS
AL
05
—
102432
—
AL
05
—
102443
—
AL
05
—
2668912-00
—
FL
Enumeration date
07/01/2006
Last updated
04/06/2015
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