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Autumn Edson

NPI 1376262618 · on the registry since 2022 · sole proprietor

Practice

Address
21 East Ave
Sinclairville, NY 14782
Phone
(716) 338-2413

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York