Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Edelbaum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134575442

Dylan Edelbaum is a Student in an Organized Health Care Education/Training Program in Danbury, Connecticut. Licensed in Connecticut and Michigan. Registered with an NPI since 2016.

Licensed in
CT, MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

120 Main St
Danbury, CT 06810-7834
Phone: (203) 743-9760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 1.080399-RES (CT)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4703116404 (MI)

Record details

NPI number1134575442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address120 Main St, Danbury, CT 06810-7834

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