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NPI Code Detail

MEDICARE: DR. JEFFREY L. TEITELBAUM MD

MEDICARE:  DR. JEFFREY L. TEITELBAUM  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
1208000000XPediatrics Physician188400NY
2207R00000XInternal Medicine Physician188400NY

General Provider Information

NPI Number : 1992793657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY L. TEITELBAUM MD
Provider Business Mailing Address
First Line : 913 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4707
Country : US
Telephone Number : 718-859-8391
Fax Number : 718-859-8394
Provider Business Practice Location Address
First Line : 913 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4707
Country : US
Telephone Number : 718-859-8391
Fax Number : 718-859-8394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 05/05/2023

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Directions to “ DR. JEFFREY L. TEITELBAUM MD” Practice Location

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