# MARTIN TESHER MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548635766
- **Authorized official:** YVONNE DEACON (OFFICE MANAGER)
- **Authorized official phone:** (212) 639-1800

## Contact information

- **Practice address:** 9 E 68TH ST, 1C, NEW YORK, NY 10065-4915
- **Practice address phone:** (212) 639-1800
- **Practice address fax:** (212) 639-9506
- **Mailing address:** 9 E 68TH ST, 1C, NEW YORK, NY 10065-4915
- **Mailing address phone:** (212) 639-1800
- **Mailing address fax:** (212) 639-9506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 170832 | NY | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 12/14/2015
