Edelman, Etana D

Edelman, Etana D is an sole proprietor health care provider with primary practice located at 655 W 254Th St , Bronx NY 10471-1259. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Edelman, Etana D can be contacted via phone (201) 561-3149.

Contact Information

Primary practice address
655 W 254Th St Bronx NY 10471-1259
Phone: (201) 561-3149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 024899-01 New York

Profile Details

NPI number 1528665189
LBN Legal business name Edelman, Etana D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated Oct 7th, 2020 - about 4 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 1528665189 NPPES
New York Other 024899-01 STATE OF NY EDUCATION DEPARTMENT

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