Individual
DR. JONATHAN S. EDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4482
(716) 250-5904
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
225271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02658964
—
NY
Enumeration date
04/19/2006
Last updated
03/25/2026
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