Individual
DAVID G EDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 NORTHERN BLVD, SUITE 230, GREAT NECK, NY 11021-5312
(516) 627-4433
(516) 627-0552
Mailing address
1000 NORTHERN BLVD STE 230, GREAT NECK, NY 11021-5341
(516) 627-4433
(516) 627-0552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15517801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010834
GHI
—
01
—
155178-NY
1199
—
01
—
1M024P
HIP
—
01
—
AP124
OXFORD
—
01
—
DE016E5110
BLUE SHIELD
—
Enumeration date
01/03/2006
Last updated
11/18/2025
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