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Individual

DR. ELYSE TEICHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
205 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5262
(845) 356-3610
Mailing address
205 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5262
(845) 356-3610

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
160377
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01009127
NY
Enumeration date
11/07/2005
Last updated
08/08/2016
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