Healthcare Provider Details

I. General information

NPI: 1194302141
Provider Name (Legal Business Name): DANIEL M TSEITLIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 RICHMOND AVE
STATEN ISLAND NY
10314-5821
US

IV. Provider business mailing address

2655 RICHMOND AVE
STATEN ISLAND NY
10314-5821
US

V. Phone/Fax

Practice location:
  • Phone: 718-818-5100
  • Fax:
Mailing address:
  • Phone: 718-818-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number337322
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: