Organization
ALVIN I. EDELMAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN I. EDELMAN D.D.S. (PRESIDENT)
(718) 589-3131
Entity
Organization
Contact information
Practice address
910 THIERIOT AVE, SUITE 1C, BRONX, NY 10473-3203
(718) 589-3131
(718) 589-3132
Mailing address
910 THIERIOT AVE, SUITE 1C, BRONX, NY 10473-3203
(718) 589-3131
(718) 589-3132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877054
—
NY
Enumeration date
07/15/2006
Last updated
08/22/2020
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