Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 122-080 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 122080 | NY |
NPI | 1376509364 |
---|---|
Provider Name | Dr. Michael G Teitel |
First Address | New York, NY 10017-5699 |
Second Address | New York, NY 10003-3314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 14/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C04959 | (02) |