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Individual

DR. PERRIN D EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
751 WARREN ST, HUDSON, NY 12534-3016
(518) 828-6516
(518) 828-9510
Mailing address
751 WARREN ST, HUDSON, NY 12534-3016
(518) 828-6516
(518) 828-9510

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002903
NY
213E00000X
Podiatrist
P00001158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000405556002
BS
05
00558943
NY
01
10000555
CDPHP
01
13721
GHI HMO
01
32791
MVP
01
480007799
RAILROAD MEDICARE
01
6202091
GHI PPO
01
P32002
BCBS
Enumeration date
04/20/2006
Last updated
12/29/2014
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