Organization
RACHEL EDELMAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL EDELMAN DMD (OWNER DENTIST)
(646) 478-2740
Entity
Organization
Contact information
Practice address
112 E 83RD ST, NEW YORK, NY 10028-0880
(646) 478-2740
(646) 478-2730
Mailing address
112 E 83RD ST, NEW YORK, NY 10028-0880
(646) 478-2740
(646) 478-2730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060082-01
DENTAL LICENSE
NY
Enumeration date
03/25/2025
Last updated
03/25/2025
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