Individual
CHERYL EDELMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 HALLOCK RD APT 5D2, LAKE GROVE, NY 11755-1409
(631) 721-3237
Mailing address
184 HALLOCK RD APT 5D2, LAKE GROVE, NY 11755-1409
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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