Teitelbaum, Alan R
Teitelbaum, Alan R is an sole proprietor health care provider with primary practice located at 315 E 86Th St 1Ge, New York NY 10028-4714. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Teitelbaum, Alan R can be contacted via phone (212) 369-9494.Contact Information
Primary practice address
315 E 86Th St 1Ge
New York NY 10028-4714
Phone: (212) 369-9494
Fax: (212) 369-9488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | N002880 | New York |
Profile Details
| NPI number | 1609846468 |
|---|---|
| LBN Legal business name | Teitelbaum, Alan R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Nov 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609846468 | NPPES |
| New York | MEDICAID | 1004246 |
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