Charles W Edelson, MD | |
55 South Lawn Avenue, Dobbs Ferry, NY 10522 | |
(914) 772-5773 | |
(914) 963-6426 |
Full Name | Charles W Edelson |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 55 South Lawn Avenue, Dobbs Ferry, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578542296 | NPI | - | NPPES |
441202721 | Other | NY | MEDICARE PTAN |
00279676 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 121222-1 (New York) | Primary |
Entity Name | Sjr Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366468936 PECOS PAC ID: 5991608440 Enrollment ID: O20040130000847 |
Mailing Address | Practice Location Address |
---|---|
Charles W Edelson, MD 53 South Lawn Avenue, Dobbs Ferry, NY 10522 Ph: (914) 772-5773 | Charles W Edelson, MD 55 South Lawn Avenue, Dobbs Ferry, NY 10522 Ph: (914) 772-5773 |
Dr. John Mitamura, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Beacon Hill Drive, Suite 2a, Dobbs Ferry, NY 10522 Phone: 914-693-9400 Fax: 914-693-4793 | |
Howard Luks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 128 Ashford Ave, Dobbs Ferry, NY 10522 Phone: 914-559-1022 Fax: 914-559-1191 |