Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TEODORO MARIANO JR MD PC
Active
Organization
TEODORO MARIANO JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEODORO REYES MARIANO JR. M.D. (PRESIDENT)
(585) 352-4411
Entity
Organization
Contact information
Practice address
21 UNION HILL DR, SPENCERPORT, NY 14559-1965
(585) 352-4411
(585) 352-1305
Mailing address
21 UNION HILL DR, SPENCERPORT, NY 14559-1965
(585) 352-4411
(585) 352-1305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
129789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00487921
—
NY
Enumeration date
09/23/2011
Last updated
01/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up