Organization
STUART R. EDELSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART ROY EDELSON M.D. (PRESIDENT)
(212) 861-0570
Entity
Organization
Contact information
Practice address
510 E 86TH ST, 1D, NEW YORK, NY 10028-7504
(212) 861-0570
Mailing address
510 E 86TH ST, 1D, NEW YORK, NY 10028-7504
(212) 861-0570
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MD084582
NY
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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