Healthcare Provider Details

I. General information

NPI: 1982163184
Provider Name (Legal Business Name): SARAH DOLORES TEITELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CADMAN PLZ W FL 17
BROOKLYN NY
11201-3229
US

IV. Provider business mailing address

300 CADMAN PLZ W FL 17
BROOKLYN NY
11201-3229
US

V. Phone/Fax

Practice location:
  • Phone: 929-210-6000
  • Fax: 929-210-6001
Mailing address:
  • Phone: 929-210-6000
  • Fax: 929-210-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number321401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: