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Individual

MS. SANDRA ANN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
208 STUDENT HEALTH STADIUM RD, STONY BROOK, NY 11794-0001
(631) 632-4531
Mailing address
208 STUDENT HEALTH STADIUM RD, STONY BROOK, NY 11794-0001
(631) 632-4531

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400359
NY

Other

Enumeration date
06/20/2008
Last updated
06/20/2008
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