Charles Teitelbaum
Ophthalmologist
5792 Widewaters Pkwy Ste 101
Syracuse
, New York 13214-1847
Charles Teitelbaum
Ophthalmologist
5792 Widewaters Pkwy Ste 101
Syracuse
, New York 13214-1847
(315) 422-4412
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Charles Teitelbaum
- 5792 Widewaters Pkwy Ste 101
- Syracuse, NY
- Zip : 13214-1847
- Phone : (315) 422-4412
Second Address
- Charles Teitelbaum
- 5792 Widewaters Pkwy Ste 101
- Syracuse, NY
- Zip : 13214-1847
- Phone : (315) 422-4412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 137677 | NY |
National Provider Identifier
| NPI | 1033112487 |
|---|---|
| Provider Name | Charles Teitelbaum |
| First Address | Syracuse, NY 13214-1847 |
| Second Address | Syracuse, NY 13214-1847 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 27/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00922876 | (05) | NY |
| B81081 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.