Individual
DR. JAMES H EDMONSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
313 N MAIN ST, WELLSVILLE, NY 14895-1016
(585) 593-7911
(585) 593-7913
Mailing address
313 N MAIN ST, WELLSVILLE, NY 14895-1016
(585) 593-7911
(585) 593-7913
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
187816-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040392401
UNIVERA PROVIDER ID
NY
01
—
000528829001
BC/BS PROVIDER ID
NY
05
—
01288173
—
NY
05
—
0969620
—
PA
01
—
2390047
INDEPENDENT HEALTH ID
NY
01
—
6100236
GHI PROVIDER ID
NY
01
—
Y037457
CHAMPUS PROVIDER ID
NY
Enumeration date
12/14/2005
Last updated
01/12/2010
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