Edward Rendon MD

NPI 1063496040 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1063496040
Gender Male
Enumeration Date 12/02/2005
Last Updated 03/12/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
475 SEAVIEW AVE
STATEN ISLAND NY, 10305-3436, US
Phone (718) 226-6279
Fax
Business Location
1 EDGEWATER ST
6TH FL. PAYER RELATIONS
STATEN ISLAND NY, 10305-4900, US
Phone (718) 226-1008
Fax (718) 226-1039
Toxanomy
Taxonomy Code 2084P0804X
License State New York
License Number 190687
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According to our database, Dr. Edward Rendon MD NPI is 1063496040, taxonomy code is 2084P0804X and license number is 190687, license state is located at New York. Edward Rendon MD physically located at 475 Seaview Ave, Staten Island NY, 10305-3436. NPI Number Edward Rendon MD has the Individual type.

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1063496040 NPI number is provided on an as is basis without warranty of any kind. 1063496040 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Rendon MD are for informational purposes only.