Provider Demographics
NPI:1437399086
Name:LAMADRID, EDWARD (DAOM, LAC, LMT)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:LAMADRID
Suffix:
Gender:M
Credentials:DAOM, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:WALL STREET STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10268-0492
Mailing Address - Country:US
Mailing Address - Phone:917-741-7419
Mailing Address - Fax:
Practice Address - Street 1:225 WEST 71ST STREET SUITE 2
Practice Address - Street 2:INTEGRATIVE HEALTH STUDIO
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-741-7419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3193171100000X
NY4891225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist