Teitelman, Dima

Teitelman, Dima is an individual health care provider with primary practice located at 6536 99Th St , Rego Park NY 11374-4358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Teitelman, Dima can be contacted via phone (718) 459-0700.

Contact Information

Primary practice address
6536 99Th St Rego Park NY 11374-4358
Fax: (718) 459-0705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 216625-01 New York

Profile Details

NPI number 1548285497
LBN Legal business name Teitelman, Dima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 24th, 2021 - about 4 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 1548285497 NPPES
New York MEDICAID 02588392

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