Individual ProviderMicia EdwardsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Department Of Family Medicine, Albany, NY 12208(518) 264-2866PECOS EnrollmentBased on the most recent information from CMS, provider Micia Edwards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1275110926Provider TypeIndividualFull NameEdwards, MiciaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/27/2021Last Updated3/27/2021Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Department Of Family Medicine, Albany, NY 12208Phone(518) 264-2866FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue, Department Of Family Medicine, Albany, NY 12208Phone(518) 264-2866FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64440