Teodoro, Nicholas Stephen

Teodoro, Nicholas Stephen is an individual health care provider with primary practice located at 4 Smith Haven Mall Ste 1 , Lake Grove NY 11755-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Teodoro, Nicholas Stephen can be contacted via phone (631) 444-4686.

Contact Information

Primary practice address
4 Smith Haven Mall Ste 1 Lake Grove NY 11755-1219
Phone: (631) 444-4686
Fax: (631) 444-4622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 318989 New York

Profile Details

NPI number 1225527922
LBN Legal business name Teodoro, Nicholas Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated Aug 12th, 2025 - about last year

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.

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