Individual
DR. TECLA LINDA CRITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(914) 965-3700
(914) 997-7942
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 997-7942
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
121292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE ID
NY
Enumeration date
11/14/2007
Last updated
07/31/2009
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