Individual
ALYSSA LOUISE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 E 3RD AVE, BAY SHORE, NY 11706-2510
(631) 894-7531
Mailing address
1640 E 3RD AVE, BAY SHORE, NY 11706-2510
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
347192-01
NY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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