Individual
ADEEN RODD MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1318 WOODROW RD, STATEN ISLAND, NY 10309-1726
(718) 227-1846
Mailing address
1318 WOODROW RD, STATEN ISLAND, NY 10309-1726
(718) 227-1846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001015-1
NY
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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