Edelman, Daniel Marc

Edelman, Daniel Marc is an sole proprietor health care provider with primary practice located at 769 Northfield Ave Suite 124, West Orange NJ 07052-1198. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edelman, Daniel Marc can be contacted via phone (866) 895-7592.

Contact Information

Primary practice address
769 Northfield Ave Suite 124 West Orange NJ 07052-1198
Phone: (866) 895-7592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015135 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100422900 New Jersey

Profile Details

NPI number 1629041165
LBN Legal business name Edelman, Daniel Marc
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated May 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629041165 NPPES
New York MEDICAID 02373971

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