Provider Demographics
NPI:1427325935
Name:GARCES, EDNA
Entity type:Individual
Prefix:
First Name:EDNA
Middle Name:
Last Name:GARCES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E 19TH ST APT 3P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7336
Mailing Address - Country:US
Mailing Address - Phone:347-228-2968
Mailing Address - Fax:347-404-6265
Practice Address - Street 1:601 E 19TH ST APT 3P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7336
Practice Address - Country:US
Practice Address - Phone:347-228-2968
Practice Address - Fax:347-404-6265
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist