Organization
BRUCE L. EDWARDS MD P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L EDWARDS MD (OWNER)
(516) 933-1125
Entity
Organization
Contact information
Practice address
700 OLD COUNTRY RD, SUITE 105, PLAINVIEW, NY 11803-4932
(516) 933-1125
(516) 822-8424
Mailing address
700 OLD COUNTRY RD, SUITE 105, PLAINVIEW, NY 11803-4932
(516) 933-1125
(516) 822-8424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
159998
NY
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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