Organization
MARVIN L TEICH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN L TEICH (SOLE PROPRIETOR)
(718) 882-3500
Entity
Organization
Contact information
Practice address
665 THWAITES PL, BRONX, NY 10467-7947
(718) 882-3500
Mailing address
PO BOX 302, RYE, NY 10580-0302
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
096234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00160870
—
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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