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Contact Information

RICHARD M EDWARDS JR, PA
4 COMMERCE LANE
CP FAMILY HEALTH CENTER
CANTON, NY13617
 Phone: 315-386-8791
 Fax: 315-386-1410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RICHARD M EDWARDS JR · (Male)

NPI # 1528034543
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 000591
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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