Edelman, Freddie L

Edelman, Freddie L is an individual health care provider with primary practice located at 514 S Bay Rd , North Syracuse NY 13212-3627. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Edelman, Freddie L can be contacted via phone (315) 458-1777.

Contact Information

Primary practice address
514 S Bay Rd North Syracuse NY 13212-3627
Phone: (315) 458-1777
Fax: (315) 458-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N002777-1 New York

Profile Details

NPI number 1508843855
LBN Legal business name Edelman, Freddie L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Feb 23rd, 2011 - about 13 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 1508843855 NPPES
New York MEDICAID 00606657

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