Martin Peter Edelstein, MD
Family Medicine in Great Neck, NY. Individual provider (NPI-1).
NPI number1619961224
StatusActive
Last updated in NPPESFeb 12, 2013
Details
- NPI
- 1619961224
- Entity type
- Individual (NPI-1)
- Name
- Martin Peter Edelstein
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2005
- Last updated
- Feb 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 130193 | NY | Yes |
| 173000000X | Legal Medicine | 130193 | NY |
Practice location
11 Beverly RdGreat Neck, NY 11021-1320
Phone 516-487-1614 · Fax 516-487-8343
Mailing address
11 Beverly RdGreat Neck, NY 11021-1320
Phone 516-487-1614 · Fax 516-487-8343
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