Adrian, Edward

Adrian, Edward is an individual health care provider with primary practice located at 355 Bard Ave Emergency Dept, Staten Island NY 10310-1664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Adrian, Edward can be contacted via phone (718) 818-2055.

Contact Information

Primary practice address
355 Bard Ave Emergency Dept Staten Island NY 10310-1664
Phone: (718) 818-2055
Fax: (212) 356-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 153315 New York

Profile Details

NPI number 1013945880
LBN Legal business name Adrian, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013945880 NPPES
New York MEDICAID 01517028

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