Edwards, Keith Sylvester

Edwards, Keith Sylvester is an sole proprietor health care provider with primary practice located at 105 Stevens Ave Suite 404, Mount Vernon NY 10550-2686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Edwards, Keith Sylvester can be contacted via phone (914) 668-6739.

Contact Information

Primary practice address
105 Stevens Ave Suite 404 Mount Vernon NY 10550-2686
Phone: (914) 668-6739
Fax: (914) 668-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 143888 New York

Profile Details

NPI number 1881611846
LBN Legal business name Edwards, Keith Sylvester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jan 29th, 2013 - about 12 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 1881611846 NPPES
New York MEDICAID 00908003

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