Individual
ANTHONY MICHEAL EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(718) 651-7770
Mailing address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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