Individual
CHARLES W EDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 SOUTH LAWN AVENUE, DOBBS FERRY, NY 10522
(914) 772-5773
(914) 963-6426
Mailing address
53 SOUTH LAWN AVENUE, DOBBS FERRY, NY 10522
(914) 772-5773
(914) 963-6426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
121222-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00279676
—
NY
01
—
441202721
MEDICARE PTAN
NY
Enumeration date
01/11/2006
Last updated
06/16/2016
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