Mr Robert Paul Edgar, LPN | |
30204 State Route 3, Black River, NY 13612-2091 | |
(315) 773-9012 | |
Not Available |
Full Name | Mr Robert Paul Edgar |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 30204 State Route 3, Black River, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235338799 | NPI | - | NPPES |
02457972 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 226744-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Paul Edgar, LPN 817 Franklin St, Watertown, NY 13601-3411 Ph: (315) 782-8876 | Mr Robert Paul Edgar, LPN 30204 State Route 3, Black River, NY 13612-2091 Ph: (315) 773-9012 |
Ashlie Hall, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 30451 Burnup Rd, Black River, NY 13612 Phone: 315-405-2828 | |
Samantha Ann Schirmer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 27882 State Route 342 Lot 217, Black River, NY 13612 Phone: 315-775-0526 | |
Anmmarie Tweedy Palmer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 155 Maple St, Black River, NY 13612 Phone: 315-345-6083 |