Individual
DIANA TEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8622 BAY PKWY, BROOKLYN, NY 11214-4168
(718) 333-2121
(718) 333-9585
Mailing address
8622 BAY PKWY, BROOKLYN, NY 11214-4168
(718) 333-2121
(718) 333-9585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228151
NY
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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