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NPI Code Detail

MEDICARE: SARA LONI EDWARDS

MEDICARE:   SARA LONI EDWARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker44SL07474000NJ

General Provider Information

NPI Number : 1811822620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LONI EDWARDS
Provider Business Mailing Address
First Line : 3260 HENRY HUDSON PKWY APT 2P
Second Line :
City : BRONX
State : NY
Zip : 10463-3290
Country : US
Telephone Number : 310-569-5629
Fax Number :
Provider Business Practice Location Address
First Line : 3260 HENRY HUDSON PKWY APT 2P
Second Line :
City : BRONX
State : NY
Zip : 10463-3290
Country : US
Telephone Number : 310-569-5629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SARA LONI EDWARDS ” Practice Location

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