IndividualActive
Kenneth Edelson, M.D.
NPI 1386616852 · Procedural Dermatology Physician · New York, NY
Provider details
- NPI number
- 1386616852
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 116745 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
112 E 84th St
#1b
New York, NY 10028-0901
Phone: (212) 744-4800
Fax: (212) 744-4808
Approximate (ZIP-level) locationGet directions
Mailing address
112 E 84th St
New York, NY 10028-0901
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.