Individual
DR. LAUREL D EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
228 PARK AVE S # 49409, NEW YORK, NY 10003-1502
(646) 760-6669
(646) 213-2042
Mailing address
17 MAIN ST, SUITE 302, CORTLAND, NY 13045-6606
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03258326
—
NY
Enumeration date
07/24/2008
Last updated
12/27/2024
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