Organization
PEDIATRIC UROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F REDA MD (PRESIDENT- MD)
(914) 962-8290
Entity
Organization
Contact information
Practice address
150 WHITE PLAINS RD, SUITE 306, TARRYTOWN, NY 10591-5535
(914) 493-8628
(914) 493-8564
Mailing address
247 ROUTE 100, SUITE 1002, SOMERS, NY 10589-3231
(914) 962-8290
(914) 962-8851
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
149688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01898273
—
NY
Enumeration date
07/24/2006
Last updated
09/18/2013
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