Individual
IAN A EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6271
Mailing address
101 SOUTH DR, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064837
NY
Other
Enumeration date
03/20/2023
Last updated
09/24/2025
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