Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 202432 | NY |
NPI | 1003815960 |
---|---|
Provider Name | Steven Teplitz |
First Address | Sayville, NY 11782-2031 |
Second Address | Sayville, NY 11782-2031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 31/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01683632 | (05) | NY |
G31253 | (02) | NY |