| Doctor Name: | MS. MARLA J EDELBERG |
| NPI Number: | 1114914686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, ACSW |
| License Number: | L220511 |
| Business Practice Address: | 82-26 262nd Street Floral Park, NY - 11004 |
| Business Phone Number: | 7183470360 |
| Business Fax Number: | 7183470360 |
| Mailing Address: | 8226 262nd St, FLORAL PARK |
| State: | NY |
| Postal Code: | 110041513 |
| Phone Number: | 7183470360 |
| Fax Number: | 7183470360 |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L220511 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |