| Daniel Edelman, Psy.d.p.c. | |
|
769 Northfield Ave Suite 124 West Orange NJ 07052-1198 | |
| (866) 895-7592 | |
| Not Available |
| Full Name | Daniel Edelman, Psy.d.p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 769 Northfield Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Daniel Marc Edelman (OWNER) |
| Authorized Official Contact | 8668957592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Edelman, Psy.d.p.c. 13 Eagle Ter West Orange NJ 07052-5006 Ph: (866) 895-7592 | Daniel Edelman, Psy.d.p.c. 769 Northfield Ave Suite 124 West Orange NJ 07052-1198 Ph: (866) 895-7592 |
| NPI Number | 1891744421 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/31/2008 |
| Medicare PECOS PAC ID | 3577574243 |
|---|---|
| Medicare Enrollment ID | O20060509000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel M Edelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629041165 PECOS PAC ID: 4183697964 Enrollment ID: I20051028000090 |
| Provider Name | William F Ivory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619224912 PECOS PAC ID: 1951554146 Enrollment ID: I20130122000373 |
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