Individual provider · Type 1 NPI

Tim Edwards

Specialist · Port Jeff Sta, NY

NPI number 1669839080 Active

Practice location

5 Farnham Pl
Port Jeff Sta, NY 11776-3412

Call (631) 882-8026 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669839080

Tim Edwards's National Provider Identifier is 1669839080, issued on Jan 16, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jeff Sta, NY. The record was last updated on Jan 16, 2016.