OrganizationEdison Medical PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address406 15th St, M2, Brooklyn, NY 11215-6054(718) 499-6590PECOS EnrollmentBased on the most recent information from CMS, provider Edison Medical Pc 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 ID1326311341Provider TypeOrganizationFull NameEdison Medical PcSubpartNoEnumeration Date2/22/2012Last Updated2/22/2012Contact InformationPractice LocationPractice Address406 15th St, M2, Brooklyn, NY 11215-6054Phone(718) 499-6590Fax(718) 499-6594Mailing LocationMailing AddressPO Box 2215, New York, NY 10101-2215Phone(718) 499-6590Fax(718) 499-6594Authorized OfficialNameAjudua, Azu (Owner)Phone(718) 499-6590Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer