Individual
EDGAR A REY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1300 YORK AVE, NEW YORK, NY 10065-4805
(646) 962-7900
Mailing address
515 E 78TH ST APT 2C, NEW YORK, NY 10075-0046
(201) 723-9048
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311492
NY
Other
Enumeration date
01/16/2024
Last updated
01/18/2024
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