Individual
DR. GARY ERWIN EDDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
(212) 749-1820
Mailing address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
(212) 749-1820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158497
NY
208000000X
Pediatrics Physician
25MA05145000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177903
—
NJ
Enumeration date
02/08/2006
Last updated
11/18/2016
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