Organization
EDEN GROUP HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERILL L LYM (EXECUTIVE DIRECTOR)
(201) 788-9665
Entity
Organization
Contact information
Practice address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(201) 788-9665
(201) 569-2433
Mailing address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(201) 788-9665
(201) 569-2433
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
06/12/2025
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