Individual
MRS. DOREEN D. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TR
Contact information
Practice address
2643 LIBERTY RDG, NEW WINDSOR, NY 12553-4923
(845) 591-2221
Mailing address
2643 LIBERTY RDG, NEW WINDSOR, NY 12553-4923
(845) 591-2221
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
18543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15627760
HIPHMO
NY
Enumeration date
07/01/2013
Last updated
07/01/2013
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