Organization
BD O&P
Active
Other names
Teitelbaum O&P
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D TEITELBAUM C-PED (PRESIDENT)
(718) 437-3200
Entity
Organization
Contact information
Practice address
943 46TH ST, BROOKLYN, NY 11219-2332
(718) 437-3200
(718) 483-8057
Mailing address
943 46TH ST, BROOKLYN, NY 11219-2332
(718) 437-3200
(718) 483-8057
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
C36411
NY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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