Connolly, Edward Sander
Connolly, Edward Sander is an individual health care provider with primary practice located at 710 W 168Th St Room 435, New York NY 10032-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Connolly, Edward Sander can be contacted via phone (212) 305-0376.Contact Information
Primary practice address
710 W 168Th St Room 435
New York NY 10032-3726
Phone: (212) 305-0376
Fax: (212) 305-2026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 206789 | New York |
Profile Details
| NPI number | 1447386578 |
|---|---|
| LBN Legal business name | Connolly, Edward Sander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447386578 | NPPES |
| New York | MEDICAID | 01765228 |
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