Individual
DR. PATRICIA EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 PARSONS BLVD., ACC, FLUSHING, NY 11355
(718) 670-5486
Mailing address
80 MARCUS DRIVE, PROVIDER ENROLLMENT, MELVILLE, NY 11747
(631) 391-7889
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
178526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01446368
—
NY
Enumeration date
08/22/2006
Last updated
01/17/2013
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