Individual
MR. MITCHELL TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
48 GRAMERCY PARK NORTH, NEW YORK, NY 10010
(212) 674-6988
(718) 853-2110
Mailing address
48 GRAMERCY PARK NORTH, NEW YORK, NY 10010
(212) 674-6988
(718) 853-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978161
—
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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