Individual
DANIELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4080
(212) 420-6002
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006964
NY
Other
Enumeration date
04/08/2017
Last updated
03/07/2024
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