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Individual

RICHARD TETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
930 5TH AVE APT 1E, NEW YORK, NY 10021-2680
(917) 310-1963
Mailing address
120 NASSAU ST APT 20H, BROOKLYN, NY 11201-1492
(440) 417-3480

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
007213
NY

Other

Enumeration date
03/25/2019
Last updated
11/10/2022
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