Edelson, Charles W

Edelson, Charles W is an sole proprietor health care provider with primary practice located at 55 South Lawn Avenue , Dobbs Ferry NY 10522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Edelson, Charles W can be contacted via phone (914) 772-5773.

Contact Information

Primary practice address
55 South Lawn Avenue Dobbs Ferry NY 10522
Fax: (914) 963-6426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 121222-1 New York

Profile Details

NPI number 1578542296
LBN Legal business name Edelson, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Jun 16th, 2016 - about 9 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 1578542296 NPPES
New York Other 441202721 MEDICARE PTAN
New York MEDICAID 00279676 MEDICARE PTAN

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