Individual
JESSE SCOTT EDELL-BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
113 UNIVERSITY PL STE 1009, NEW YORK, NY 10003-4527
(414) 791-3405
Mailing address
59 4TH AVE # 1F, NEW YORK, NY 10003-5203
(414) 791-3405
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001262
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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