Individual
STACEY GREEBEL TELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BURTON AVE, WOODMERE, NY 11598-1747
(516) 295-9424
Mailing address
35 BURTON AVE, WOODMERE, NY 11598-1747
(516) 295-9424
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8275
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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