Teitelman, Dima
Teitelman, Dima is an individual health care provider with primary practice located at 6536 99Th St , Rego Park NY 11374-4358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Teitelman, Dima can be contacted via phone (718) 459-0700.Contact Information
Primary practice address
6536 99Th St
Rego Park NY 11374-4358
Phone: (718) 459-0700
Fax: (718) 459-0705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 216625-01 | New York |
Profile Details
| NPI number | 1548285497 |
|---|---|
| LBN Legal business name | Teitelman, Dima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548285497 | NPPES |
| New York | MEDICAID | 02588392 |
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