SAMUEL D. TEITELBAUM C-PED NPI 1528197118

NPI Information

NPI: 1528197118
Provider Name: SAMUEL D. TEITELBAUM, C-PED
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
166 ROSS ST
BROOKLYN, NY
ZIP 11211
Phone: (718) 782-0600
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Samuel D. Teitelbaum, C-PED is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Samuel D. Teitelbaum, C-PED NPI is 1528197118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

166 ROSS ST
BROOKLYN, NY
ZIP 11211
Phone: (718) 782-0600
Fax: (718) 782-0611

The enumeration date for this NPI number is 3/2/2007 and was last updated on 12/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		20546	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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