Recitas, Teofilo P

Recitas, Teofilo P is an individual health care provider with primary practice located at 200 Old Country Road Suite 520 Ste 100, Mineola NY 11115-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Recitas, Teofilo P can be contacted via phone (516) 877-0975.

Contact Information

Primary practice address
200 Old Country Road Suite 520 Ste 100 Mineola NY 11115-2501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 126655-1 New York

Profile Details

NPI number 1447256789
LBN Legal business name Recitas, Teofilo P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447256789 NPPES
New York MEDICAID 00888697

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