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Individual

DR. SEYMOUR LEONARD EDELSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2382 E 13TH ST, BROOKLYN, NY 11229-4306
(718) 646-8787
(718) 646-0098
Mailing address
2382 E 13TH ST, BROOKLYN, NY 11229-4306
(718) 646-8787
(718) 646-0098

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
118741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007841
GHI
NY
05
00276435
NY
01
1066255000
U.S. DEPT. OF LABOR
01
118741-8B
WBC
NY
01
400000384
MEDICARE RAILROAD GBA
NY
01
AE6101000
BNDD
01
KS584
OXFORD INSURANCE CO.
NY
Enumeration date
08/24/2005
Last updated
02/07/2008
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