Individual
DR. SIMON EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4277 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5709
(516) 796-4340
Mailing address
4277 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5709
(516) 796-4340
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
238354
NY
207UN0902X
Nuclear Imaging & Therapy Physician
238354
NY
2085B0100X
Body Imaging Physician
238354
NY
2085R0202X
Diagnostic Radiology Physician
238354
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
238354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238354
MEDICAL LICENSE
NY
Enumeration date
01/03/2007
Last updated
09/11/2025
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