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Contact Information

MATHEW D EDNICK, DO
100 NICOLLS RD # LEVEL11
STONY BROOK, NY11794-8111
 Phone: 631-444-8340
 Fax: 631-444-6045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MATHEW D EDNICK · (Male)

NPI Number 1295942266
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/17/2007
Last updated 11/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34-008778
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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