Organization
EDWARD A ATHANASIAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A ATHANASIAN MD (PRESIDENT)
(212) 606-1962
Entity
Organization
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1962
(212) 774-2880
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180932
LIC
NY
Enumeration date
10/09/2020
Last updated
10/09/2020
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