Rendon, Edward

Rendon, Edward is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Rendon, Edward can be contacted via phone (718) 226-6279.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-6279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 190687 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 190687 New York

Profile Details

NPI number 1063496040
LBN Legal business name Rendon, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Mar 12th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063496040 NPPES
New York MEDICAID 01527499
New York Other 260045140

Popular Providers