Lee-Edwards, Donald R

Lee-Edwards, Donald R is an sole proprietor health care provider with primary practice located at 255 Gordon St , Staten Island NY 10304-1943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lee-Edwards, Donald R can be contacted via phone (718) 554-0744.

Contact Information

Primary practice address
255 Gordon St Staten Island NY 10304-1943
Phone: (718) 554-0744
Fax: (206) 337-9412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4053692 New York

Profile Details

NPI number 1871852699
LBN Legal business name Lee-Edwards, Donald R
Credentials PH.D,MD,LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2012
Last updated May 14th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871852699 NPPES
New York Other 1710252127 NPI

Popular Providers