Organization
DR MICHAEL EDELSTEIN
Active
Organization
DR MICHAEL EDELSTEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDELSTEIN (OWNER)
(718) 561-0041
Entity
Organization
Contact information
Practice address
3224 GRAND CONCOURSE APT BA, BRONX, NY 10458-1067
(718) 561-0041
(718) 561-0188
Mailing address
3 WICKS DR, COMMACK, NY 11725-3921
(718) 561-0041
(718) 561-0188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739239
—
NY
Enumeration date
06/20/2008
Last updated
06/20/2008
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