Edstrom, Richard Edward

Edstrom, Richard Edward is an sole proprietor health care provider with primary practice located at 926 S Country Rd , Bellport NY 11713-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Edstrom, Richard Edward can be contacted via phone (631) 286-6130.

Contact Information

Primary practice address
926 S Country Rd Bellport NY 11713-2512
Phone: (631) 286-6130
Fax: (631) 286-6130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 170661 New York

Profile Details

NPI number 1841579109
LBN Legal business name Edstrom, Richard Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 2011 - 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.

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