IndividualActive
Bruce Edwards, MD
NPI 1477635357 · Allergy & Immunology Physician · Woodbury, NY
Provider details
- NPI number
- 1477635357
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 159998 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
321 Crossways Park Dr Ste 1a
Woodbury, NY 11797-2066
Phone: (516) 933-1125
Fax: (516) 822-8424
Approximate (ZIP-level) locationGet directions
Mailing address
321 Crossways Park Dr Ste 1a
Woodbury, NY 11797-2066
Additional practice locations (1)
- 700 Old Country RoadSte 105Plainview, NY 11803Phone: (516) 933-1125Fax: (516) 822-8424
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.