Edwards, Annette Lee

Edwards, Annette Lee is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edwards, Annette Lee can be contacted via phone (315) 738-1428.

Contact Information

Primary practice address
1427 Genesee St Utica NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 738-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 058290 New York

Profile Details

NPI number 1700830510
LBN Legal business name Edwards, Annette Lee
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 18th, 2008 - about 16 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 1700830510 NPPES
New York MEDICAID 01039156

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