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Individual

MS. EMME EDMUNDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
117 HAWLEY ST, BINGHAMTON, NY 13901-3903
(607) 723-5130
(607) 723-4087
Mailing address
37 DIETZ ST, ONEONTA, NY 13820-1882
(607) 432-2252
(607) 432-7206

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420566-1
NY
367A00000X
Advanced Practice Midwife
F000837-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03436844
NY
Enumeration date
11/01/2006
Last updated
03/13/2015
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