Individual
BRUCE L EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 CROSSWAYS PARK DR STE 1A, WOODBURY, NY 11797-2066
(516) 933-1125
(516) 822-8424
Mailing address
321 CROSSWAYS PARK DR STE 1A, WOODBURY, NY 11797-2066
(516) 933-1125
(516) 822-8424
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
159998
NY
Other
Enumeration date
10/19/2006
Last updated
07/09/2020
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