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Contact Information

SRINIVASA EDARA, MD
111 AMSTERDAM AVE
NEW YORK, NY10023-7410
 Phone: 212-523-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SRINIVASA EDARA · (Male)

NPI # 1629068218
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 214817
  • NY Medicaid 02207954
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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