Individual
CHARLES C. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19105 HILLSIDE AVE, HOLLIS, NY 11423-1941
(718) 468-8400
Mailing address
19105 HILLSIDE AVE, HOLLIS, NY 11423-1941
(718) 468-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
165011
NY
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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