Mathew D Ednick
Pediatric Pulmonologist
100 Nicolls Rd # Level11
Stony Brook
, New York 11794-8111
Mathew D Ednick
Pediatric Pulmonologist
100 Nicolls Rd # Level11
Stony Brook
, New York 11794-8111
(631) 444-6045
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Mathew D Ednick
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Fax : (631) 444-6045
- Phone : (631) 444-8340
Second Address
- Mathew D Ednick
- 100 Nicolls Rd # Level11
- Stony Brook, NY
- Zip : 11794-8111
- Fax : (631) 444-6045
- Phone : (631) 444-8340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 34-008778 | OH |
National Provider Identifier
| NPI | 1295942266 |
|---|---|
| Provider Name | Mathew D Ednick |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | Stony Brook, NY 11794-8111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 27/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.