Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 035819 | NY |
NPI | 1043351620 |
---|---|
Provider Name | Dr. Paul W Teplitsky |
First Address | Brooklyn, NY 11201-5509 |
Second Address | Brooklyn, NY 11201-5509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |