Healthcare Provider Details

I. General information

NPI: 1922567700
Provider Name (Legal Business Name): SARA EDWARDS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST FL 2
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

160 E 88TH ST # 15EF
NEW YORK NY
10128-2233
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6551
  • Fax:
Mailing address:
  • Phone: 301-775-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number321858
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: