NPI 1649742289

Anthony Micheal Edmondson

Practitioner Community Health Worker Forest Hills, NY

Practice location

Address: 11835 Queens Blvd Fl 6, Forest Hills, NY 11375-7211
Phone: (718) 651-7770

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in New York →

Registry record

NPI: 1649742289
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2018
Record last updated: 20 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.