Provider Demographics
NPI:1437291184
Name:EDWARDS, KAREN S (MD MPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LAKE SHORE RD
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-1343
Mailing Address - Country:US
Mailing Address - Phone:914-594-4609
Mailing Address - Fax:
Practice Address - Street 1:WESTCHESTER INSTITUTE FOR HUMAN DEVELOPMENT
Practice Address - Street 2:CEDARWOOD HALL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171873208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics