Individual
EDWARD CHARLES SAVARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
90 S BEDFORD RD, CARE MOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1412
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005871
NYS LICENSE #
—
05
—
02975735
—
NY
Enumeration date
07/11/2006
Last updated
11/11/2016
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