Individual
DR. ANDREW S TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 PROSPECT PARK W, APT. 12 B, BROOKLYN, NY 11215-2370
(718) 622-5917
Mailing address
35 PROSPECT PARK W, APT. 12 B, BROOKLYN, NY 11215-2370
(718) 622-5917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
134974
NY
207R00000X
Internal Medicine Physician
134974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134974
LICENSE NUMBER
NY
Enumeration date
06/04/2006
Last updated
09/11/2025
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