Individual
DR. NICOLE ANNE TEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLAZA, BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER, BROOKLYN, NY 11212
(718) 624-5000
Mailing address
180 ATLANTIC AVE APT B208, FARMINGDALE, NY 11735-2779
(929) 372-0527
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1326082223
NY
Other
Enumeration date
09/18/2013
Last updated
11/20/2018
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