Healthcare Provider Details

I. General information

NPI: 1336248459
Provider Name (Legal Business Name): EDWARD MARK ADLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E 32ND ST FL 4
NEW YORK NY
10016-6055
US

IV. Provider business mailing address

145 E 32ND ST # 4FL
NEW YORK NY
10016-6055
US

V. Phone/Fax

Practice location:
  • Phone: 212-427-3986
  • Fax: 212-996-5949
Mailing address:
  • Phone: 212-427-3986
  • Fax: 212-996-5949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number177944
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: