MEDICARE: STEVEN TEPLITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	202432	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003815960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN TEPLITZ MD

Provider Business Mailing Address
First Line	:	383 ASTOR DR
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2031
Country	:	US
Telephone Number	:	631-736-4064
Fax Number	:	631-736-1332

Provider Business Practice Location Address
First Line	:	383 ASTOR DR
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2031
Country	:	US
Telephone Number	:	516-280-8202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/31/2016

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Directions to “ STEVEN TEPLITZ MD” Practice Location

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