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Individual

MS. KATIA TETELBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SPECIAL ED

Contact information

Practice address
6615 THORNTON PL, APT.5-F, REGO PARK, NY 11374-5147
(917) 754-5353
Mailing address
6615 THORNTON PL, APT.5-F, REGO PARK, NY 11374-5147
(917) 754-5353

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1360761
NY

Other

Enumeration date
06/12/2012
Last updated
06/12/2012
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