Individual
MS. LISA EDELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1428 MADISON AVE FL 2, NEW YORK, NY 10029-6508
(800) 298-6470
Mailing address
333 LUDLOW ST STE 3, STAMFORD, CT 06902-6991
(475) 333-3623
(475) 333-3810
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
EDELL2
NY
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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