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Abby Edwards

Specialist/Technologist, Athletic Trainer in Queensbury, NY. Individual provider (NPI-1).

NPI number1982162111
StatusActive
Last updated in NPPESMar 6, 2019

Details

NPI
1982162111
Entity type
Individual (NPI-1)
Name
Abby Edwards
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2019
Last updated
Mar 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

36 Candleberry Dr
Queensbury, NY 12804-8344

Phone 832-525-5569

Mailing address

36 Candleberry Dr
Queensbury, NY 12804-8344

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