Organization
EDWARD CONDON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MICHAEL CONDON MD (PRESIDENT)
(631) 462-2200
Entity
Organization
Contact information
Practice address
6080 JERICHO TPKE, SUITE 314, COMMACK, NY 11725-2850
(631) 462-2200
(866) 852-5985
Mailing address
6080 JERICHO TPKE, SUITE 314, COMMACK, NY 11725-2850
(631) 462-2200
(866) 852-5985
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
127245
NY
Other
Enumeration date
01/24/2008
Last updated
07/12/2013
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