Dr Brian M Edelstein, MD | |
1001 Main St Fl 4, Buffalo, NY 14203-1009 | |
(716) 323-0080 | |
Not Available |
Full Name | Dr Brian M Edelstein |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1001 Main St Fl 4, Buffalo, 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 |
---|---|---|---|
1942202726 | NPI | - | NPPES |
036-081942-2 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 036-081942 (Illinois) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 299601 (New York) | Primary |
Entity Name | Mount Sinai Community Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Mailing Address | Practice Location Address |
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Dr Brian M Edelstein, MD 1001 Main St Fl 5, Buffalo, NY 14203-1009 Ph: (716) 323-0080 | Dr Brian M Edelstein, MD 1001 Main St Fl 4, Buffalo, NY 14203-1009 Ph: (716) 323-0080 |
Dr. Lauren Davidson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7355 | |
Jack Daniel Halligan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 | |
Dr. Mary Ellen Emborsky, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 5, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Meghan E Jacobs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0293 | |
Dr. Mona Bonanno, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 4, Buffalo, NY 14203 Phone: 716-323-0260 Fax: 716-323-0294 | |
Dr. Roger A Forden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 341 Englewood Ave, Buffalo, NY 14223 Phone: 716-833-2333 Fax: 716-833-3972 | |
Dr. Jessica Aliotta Donhauser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0599 |