Healthcare Provider Details

I. General information

NPI: 1922268168
Provider Name (Legal Business Name): TERESA L MAY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 01/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FODEN RD SUITE 103, WEST BUILDING
SOUTH PORTLAND ME
04106-2327
US

IV. Provider business mailing address

710 W 168TH ST
NEW YORK NY
10032-3726
US

V. Phone/Fax

Practice location:
  • Phone: 207-828-1122
  • Fax: 208-828-0188
Mailing address:
  • Phone: 212-305-7236
  • Fax: 212-305-2792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number274461
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDO2185
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: