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Individual
JEFFREY TEIBEL
Active
Individual
JEFFREY TEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0005095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000912926001
BCBS OF WESTERN NY
NY
05
—
01684064
—
NY
01
—
100167EQ
PREFERRED CARE
NY
01
—
8131
BLUE SHIELD
NY
01
—
P010005095
BLUE CHOICE
NY
Enumeration date
05/27/2006
Last updated
04/18/2025
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