Organization
MS CENTER OF NORTHEASTERN NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH R EDWARDS MD (CEO)
(518) 785-1000
Entity
Organization
Contact information
Practice address
1205 TROY SCHENECTADY RD, SUITE 105, LATHAM, NY 12110-1074
(518) 785-1000
(518) 785-5000
Mailing address
6 JOHN ST, HOOSICK FALLS, NY 12090-1604
(518) 205-5153
(518) 205-5238
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
01/17/2020
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