Individual
EDDYS DISLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1ST AVE & E 16TH ST, 7TH FLOOR, NEW YORK, NY 10003
(212) 420-3131
Mailing address
PO BOX 95000-2433, PHILADELPHIA, PA 19195-0001
(212) 420-3131
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
182472
NY
Other
Enumeration date
01/30/2007
Last updated
04/17/2019
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