Individual
DR. EDWARD CHAMPOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 684-6115
(607) 684-6120
Mailing address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 684-6115
(607) 684-6120
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
01059883A
IN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
318518
NY
208000000X
Pediatrics Physician
01059883A
IN
Other
Enumeration date
09/26/2005
Last updated
01/10/2025
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