Individual
EDWARD P NAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 IVY ST, ELMIRA, NY 14905-1627
(607) 737-7780
(607) 737-7788
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
192995
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
192995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01460104
—
NY
Enumeration date
11/21/2006
Last updated
11/24/2014
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