Individual
GWENDDYN E EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ STE 350, GARDEN CITY, NY 11530-3358
(347) 489-5728
Mailing address
42 MARLOW RD, VALLEY STREAM, NY 11580-3706
(347) 489-5728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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