Individual
DR. BRIAN M EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0080
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0080
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
036-081942
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
299601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-081942-2
—
IL
Enumeration date
08/11/2005
Last updated
05/10/2021
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