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Individual

DR. EDWARD F REDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 WHITE PLAINS RD, SUITE 306, TARRYTOWN, NY 10591-5535
(914) 493-8628
(914) 493-8564
Mailing address
247 ROUTE 100, SUITE 1002, SOMERS, NY 10589-3231
(914) 962-8290
(914) 962-8851

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
149688
NY
2088P0231X
Pediatric Urology Physician
149688
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00715586
NY
Enumeration date
06/24/2006
Last updated
01/29/2014
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