Individual
DR. MARTHA EDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPRESSSWAY, DEPT. OF PSYCHIATRY, RICHOND HILL, NY 11418
(718) 206-7160
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
179526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02219863
—
NY
Enumeration date
06/28/2006
Last updated
10/29/2010
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