Individual
ERICA L. EDMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3101 DITMARS BLVD, ASTORIA, NY 11105-2304
(866) 389-2727
Mailing address
3101 DITMARS BLVD, ASTORIA, NY 11105-2304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
336615
NY
363LF0000X
Family Nurse Practitioner
Primary
336615
NY
Other
Enumeration date
02/27/2012
Last updated
02/29/2024
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