Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 0101233140 | VA |
Y | 2084N0402X | Child Neurologist | D0062342 | MD |
N | 2084N0402X | Child Neurologist | MD33699 | DC |
NPI | 1225136989 |
---|---|
Provider Name | Sylvia Alexandra Edelstein |
First Address | Cabin John, MD 20818-0103 |
Second Address | Cabin John, MD 20818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010135290 | (05) | VA |
034243800 | (05) | DC |