Edge, Walter E

Edge, Walter E is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Edge, Walter E can be contacted via phone (518) 262-5127.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Fax: (518) 262-4933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 146395-1 New York

Profile Details

NPI number 1265424386
LBN Legal business name Edge, Walter E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1265424386 NPPES
New York MEDICAID 00900041

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