MEDICARE: KATELYN EDEL MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	33743801	NY

General Provider Information

NPI Number	:	1437731106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN EDEL MD, MPH

Provider Business Mailing Address
First Line	:	17 SHERMAN ST STE 2100
Second Line	:
City	:	JAMESTOWN
State	:	NY
Zip	:	14701-7087
Country	:	US
Telephone Number	:	716-644-8510
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 SHERMAN ST STE 2100
Second Line	:
City	:	JAMESTOWN
State	:	NY
Zip	:	14701-7087
Country	:	US
Telephone Number	:	716-644-8510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	06/23/2025

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