Individual
DR. AVIVA TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 COURT ST STE 1904, BROOKLYN, NY 11242-1119
(917) 382-0777
Mailing address
26 COURT ST STE 1904, BROOKLYN, NY 11242-1119
(917) 382-0777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
282266
NY
2084P0802X
Addiction Psychiatry Physician
Primary
282266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282266
NEW YORK STATE EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS: MEDICAL LICENSE
NY
Enumeration date
01/09/2013
Last updated
09/02/2025
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