Individual
DR. MALCOLM GILBERT IDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 POND HILLS COURT, PLEASANT VALLEY, NY 12569
(845) 635-9132
(845) 635-1381
Mailing address
30 POND HILLS COURT, PLEASANT VALLEY, NY 12569
(845) 635-9132
(845) 635-1381
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
080056-1
NV
207VX0201X
Gynecologic Oncology Physician
080056-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#080056-1
PHYSICIAN MEDICAL LICENSE
NY
Enumeration date
01/24/2013
Last updated
03/07/2023
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