Individual
COLLEEN ANN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-6756
Mailing address
150 E 42ND ST, NEW YORK, NY 10017-5612
(212) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
164237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144581
—
NY
01
—
211657
UNITED
NY
01
—
2646400
AETNA
NY
01
—
NP215
OXFORD
NY
Enumeration date
07/25/2006
Last updated
02/25/2019
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