Provider Demographics
NPI:1225174188
Name:EDWARDS, MAUREEN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:335 OLD TARRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2811
Mailing Address - Country:US
Mailing Address - Phone:914-993-7800
Mailing Address - Fax:914-993-7885
Practice Address - Street 1:335 OLD TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2811
Practice Address - Country:US
Practice Address - Phone:914-993-7800
Practice Address - Fax:914-993-7885
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF41591Medicare UPIN