Individual
EDWARD LORENZO STA. MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-3628
(212) 939-3629
Mailing address
4056 GLEANE ST, ELMHURST, NY 11373-1429
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
209232-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
209232-1
NY
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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