MEDICARE: DR. SEYMOUR LEONARD EDELSTEIN M.D.

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	207XS0106X	Orthopaedic Hand Surgery Physician	118741	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	400000384	OTHER	NY	MEDICARE RAILROAD GBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007841	OTHER	NY	GHI
3	1066255000	OTHER		U.S. DEPT. OF LABOR
4	118741-8B	OTHER	NY	WBC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	118741-8B	OTHER	NY	WCB
8	KS584	OTHER	NY	OXFORD INSURANCE CO.

General Provider Information

NPI Number	:	1639162647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEYMOUR LEONARD EDELSTEIN M.D.

Provider Business Mailing Address
First Line	:	2382 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4306
Country	:	US
Telephone Number	:	718-646-8787
Fax Number	:	718-646-0098

Provider Business Practice Location Address
First Line	:	2382 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4306
Country	:	US
Telephone Number	:	718-646-8787
Fax Number	:	718-646-0098

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	02/07/2008

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Directions to “ DR. SEYMOUR LEONARD EDELSTEIN M.D.” Practice Location

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