Edge, Stephen B

Edge, Stephen B is an individual health care provider with primary practice located at Elm And Carlton Streets , Buffalo NY 14263-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edge, Stephen B can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton Streets Buffalo NY 14263-0001
Fax: (716) 845-1278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 189101 New York

Profile Details

NPI number 1063418465
LBN Legal business name Edge, Stephen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 15th, 2019 - about 5 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 1063418465 NPPES
New York MEDICAID 01436108

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