Individual
SUSAN TEEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
416 E 55TH ST, MAIN FLOOR, NEW YORK, NY 10022-5104
(212) 873-8945
Mailing address
416 E 55TH ST, MAIN FLOOR, NEW YORK, NY 10022-5104
(212) 873-8945
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
202569
NY
2085R0202X
Diagnostic Radiology Physician
202569
NY
2085U0001X
Diagnostic Ultrasound Physician
202569
NY
Other
Enumeration date
10/12/2006
Last updated
10/19/2009
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