Individual
MRS. ALLISON EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1133 YORK AVE, NEW YORK, NY 10065-8307
(646) 888-7132
Mailing address
304 GRAND BLVD, LONG BEACH, NY 11561-2812
(914) 497-9694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342262
NY
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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