Individual
DR. KENNETH L EDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 E 84TH ST, #1B, NEW YORK, NY 10028-0901
(212) 744-4800
(212) 744-4808
Mailing address
112 E 84TH ST, #1B, NEW YORK, NY 10028-0901
(212) 744-4800
(212) 744-4808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
116745
NY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
116745
NY
207NS0135X
Procedural Dermatology Physician
Primary
116745
NY
Other
Enumeration date
02/07/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us