Teller, Katerina

Teller, Katerina is an individual health care provider with primary practice located at 13420 Jamaica Ave 1St Floor, Jamaica NY 11418-2619. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Teller, Katerina can be contacted via phone (718) 206-6742.

Contact Information

Primary practice address
13420 Jamaica Ave 1St Floor Jamaica NY 11418-2619
Phone: (718) 206-6742
Fax: (718) 206-6905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 189660 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 189660 New York

Profile Details

NPI number 1275592727
LBN Legal business name Teller, Katerina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 20th, 2010 - about 16 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 1275592727 NPPES
New York MEDICAID 01655783

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