DAVID A. EDMONSON, M.D., PC
Radiology at Manning Blvd, Albany, NY

License number
New York 236674-1
Category
Radiology
Type
Surgical Oncology
Owner
Name: DR. DAVID A EDMONSON MD
Title: MD/OWNER
Phone: (518) 641-6936
Address
Address
319 S Manning Blvd SUITE 210, Albany, NY 12208
National Provider ID: 1225217763
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID A. EDMONSON, MD, PC

319 S Manning Blvd STE 310, Albany, NY 12208

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
David A. Edmonson, M.D., PC
Inactive reason:
Dissolution
Registration:
Nov 16, 2007
Inactive since:
Mar 19, 2012
State ID:
3594842
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctor, Owner, Principals:
Md David A Edmonson, 319 S Manning Blvd STE 310, Albany, NY 12208 (Physical),Suzanne E. Kreienberg (Medical Doctor, Owner),David A. Edmonson (Medical Doctor, Owner, Principal)
Agent:
Nixon Peabody Llp,30 S Pearl St Attn: Peter J Millock, Albany, NY 12207 (Physical)

David A. Edmonson, MD, PC

30 S Pearl St, Albany, NY 12207

Status:
Inactive
Industry:
Medical Doctor's Office
Principal:
David Edmonson Principal, inactive

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