Edelstein, Michael Charles

Edelstein, Michael Charles is an sole proprietor health care provider with primary practice located at 3224 Grand Concourse, Suite #Ba , Bronx NY 10458. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Edelstein, Michael Charles can be contacted via phone (718) 561-0041.

Contact Information

Primary practice address
3224 Grand Concourse, Suite #Ba Bronx NY 10458
Phone: (718) 561-0041
Fax: (718) 561-0188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005269 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376546853
LBN Legal business name Edelstein, Michael Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Feb 17th, 2009 - about 16 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 1376546853 NPPES
New York MEDICAID 01739239

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