Individual
MICHELLE M TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NICHOLD RD EMERGENCY MEDICINE LEVEL 4, ROOM 080, STONY BROOK, NY 11790-1020
(631) 444-2478
Mailing address
28 GREENBRIAR RD, WADING RIVER, NY 11792-1020
(631) 965-9568
(631) 965-9568
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
307336
NY
Other
Enumeration date
10/22/2015
Last updated
07/21/2022
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