Individual
DR. ALAN R TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
315 E 86TH ST, 1GE, NEW YORK, NY 10028-4714
(212) 369-9494
(212) 369-9488
Mailing address
315 E 86TH ST, 1GE, NEW YORK, NY 10028-4714
(212) 369-9494
(212) 369-9488
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N002880
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004246
—
NY
Enumeration date
01/25/2006
Last updated
11/02/2009
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