Individual
DR. MARINEL ARDELJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 BRENTWOOD RD, BAY SHORE, NY 11706
(631) 665-8200
(631) 665-8914
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
252253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03121859
—
NY
Enumeration date
04/29/2009
Last updated
11/07/2025
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