JEREMIAH CARROL EDINGTON

RIVERHEAD, NY
NPI1134405632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015287)
Enumeration Date2011-10-27
Last Update Date2021-03-29
Business Address
JEREMIAH CARROL EDINGTON RPA-C
1228 E MAIN ST STE C
RIVERHEAD, NY 11901-2677
Phone number: 631-603-3400
Mailing Address
JEREMIAH CARROL EDINGTON RPA-C
PO BOX 500
ELLICOTTVILLE, NY 14731-0500
Phone number: 631-475-3900