Individual
DR. LOUIS K TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., L. F.A.P.A.
Contact information
Practice address
1 PANSMITH LN, WEST ISLIP, NY 11795-4724
(631) 210-7300
(516) 877-2038
Mailing address
520 FRANKLIN AVE, SUITE 211, GARDEN CITY, NY 11530-5801
(516) 877-7832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
172744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01197740
—
NY
Enumeration date
07/21/2006
Last updated
05/23/2023
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