Individual
BEPPY J. EDASERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 CARE LN, SARATOGA SPRINGS, NY 12866-8651
(518) 587-7625
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-7100
(718) 206-7117
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
164546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184725
—
NY
Enumeration date
08/31/2006
Last updated
07/28/2022
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