Healthcare Provider Details

I. General information

NPI: 1871578450
Provider Name (Legal Business Name): ARIEL DAN TEITEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W 26TH ST SUITE 204
NEW YORK NY
10010-1006
US

IV. Provider business mailing address

26 W 38TH ST 6TH FLOOR
NEW YORK NY
10018-6276
US

V. Phone/Fax

Practice location:
  • Phone: 212-221-7971
  • Fax: 866-546-3236
Mailing address:
  • Phone: 212-221-7971
  • Fax: 212-221-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number177768
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: