Individual
EDITH SENYUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 GEORGE ST, OSWEGO, NY 13126-3276
(315) 598-4790
(315) 593-6195
Mailing address
239 ONEIDA ST, FULTON, NY 13069-1228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997217
—
NY
01
—
261485
NYS LICENSE
NY
Enumeration date
12/07/2011
Last updated
09/06/2012
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