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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1275592727 | NPPES |
New York | MEDICAID | 01655783 |
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