Eustace Edmead

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

97-20 Van Wyck Expwy Apt D5
South Richmond Hill, NY 11419

Phone

(718) 739-4184

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1972963973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 VAN WYCK EXPY APT D5",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-20 VAN WYCK EXPWY APT D5",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-739-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMEAD",
        "first_name": "EUSTACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Duncan, RDH, B. S
• Dhruba Dutta, R.PH
• Natalia Dvorin, O.D.
• Dynamic Medical PC
• Easy Care PT PC
• Kathy Elashvili
• Elite Drugs Inc.
• Emory Rehabilitation Service, Inc.
• Empire Medical Lab Inc
• Enhanced Physical Therapy PC

• Peer Specialist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.