Individual
ALEXANDER W EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(516) 987-0297
Mailing address
45 LAKESIDE LN, BAY SHORE, NY 11706-8847
(516) 987-0297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72592
AZ
208D00000X
General Practice Physician
58648
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
06/11/2024
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