Individual
DR. DIMA TEITELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6536 99TH ST, REGO PARK, NY 11374-4358
(718) 459-0700
(718) 459-0705
Mailing address
6860 AUSTIN ST, STE 302, FOREST HILLS, NY 11375-4223
(718) 459-0700
(718) 459-0705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
216625-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588392
—
NY
Enumeration date
07/13/2006
Last updated
03/24/2021
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