David A. Edmonson, M.D., Pc

LBN: David A. Edmonson, M.D., Pc
David A. Edmonson, M.D., Pc is an health care organization with primary practice located at 319 S Manning Blvd Suite 210, Albany NY 12208-1742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as the primary health care specialty. David A. Edmonson, M.D., Pc can be contacted via phone (518) 641-6936, or through Edmonson, David A via phone (518) 641-6936.

Contact Information

Primary practice address
319 S Manning Blvd Suite 210 Albany NY 12208-1742
Phone: (518) 641-6936
Fax: (518) 641-6939
Website:
Map and Directions
Authorized official contact:
Name: Edmonson, David A Doctor of Medicine (MD)
Phone: (518) 641-6936

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 236674-1 New York

Profile Details

NPI number 1225217763
LBN Legal business name David A. Edmonson, M.D., Pc
DBA Doing business as
Authorized official Edmonson, David A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 2nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225217763 NPPES
New York MEDICAID 02733833
New York Other 1750440699

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