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Contact Information

EDWARD M CONDON, MD
6080 JERICHO TPKE
SUITE 314
COMMACK, NY11725-2850
 Phone: 631-462-2200
 Fax: 866-852-5985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDWARD M CONDON · (Male)

NPI # 1225058969
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 07/31/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 127245
  • NY Medicaid 02215447
  • NY Other 4312729 AETNA/US HEALTHCARE
  • NY Other 3444104 AETNA/US HEALTHCARE HMO
  • NY Other 2190581 CIGNA
  • NY Other EC094S0510 EMPIRE BCBS-NY
  • NY Other 000000080165 GHI HMO
  • NY Other 230035 GHI PPO
  • NY Other 3C6337 HEALTH NET
  • NY Other P3194859 OXFORD HEALTH PLAN
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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