Individual
MARTIN PETER EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 BEVERLY RD, GREAT NECK, NY 11021-1320
(516) 487-1614
(516) 487-8343
Mailing address
11 BEVERLY RD, GREAT NECK, NY 11021-1320
(516) 487-1614
(516) 487-8343
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
130193
NY
207Q00000X
Family Medicine Physician
Primary
130193
NY
Other
Enumeration date
09/09/2005
Last updated
02/12/2013
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