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Contact Information

ALYSSA L EDWARDS
1640 E 3RD AVE
BAY SHORE, NY11706-2510
 Phone: 631-894-7531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALYSSA L EDWARDS · (Female)

NPI # 1487591699
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2026
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 347192-01
Hospital affiliation(s) Not Available
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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