Provider Demographics
NPI:1346683067
Name:ANDELMAN, STEVEN MARSHALL
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARSHALL
Last Name:ANDELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 ROUTE 100
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3227
Mailing Address - Country:US
Mailing Address - Phone:914-849-7075
Mailing Address - Fax:914-849-7076
Practice Address - Street 1:325 ROUTE 100
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3227
Practice Address - Country:US
Practice Address - Phone:914-849-7075
Practice Address - Fax:914-849-7076
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298213207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery