Individual
JEFFREY TEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
85 S UNION ST, SPENCERPORT, NY 14559-1255
(585) 721-3668
Mailing address
101 LINCOLN PKWY, EAST ROCHESTER, NY 14445-1413
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0005095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000912926001
BCBS OF WESTERN NY
NY
05
—
01684064
—
NY
01
—
100167EQ
PREFERRED CARE
NY
01
—
8131
BLUE SHIELD
NY
01
—
P010005095
BLUE CHOICE
NY
Enumeration date
05/27/2006
Last updated
04/18/2025
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