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David Teitelbaum

Social Worker, Clinical in Woodmere, NY. Individual provider (NPI-1).

NPI number1710614524
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1710614524
Entity type
Individual (NPI-1)
Name
David Teitelbaum
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 2, 2022
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical087248-01NYYes

Practice location

313 Woodmere Blvd
Woodmere, NY 11598-2033

Phone 917-717-1565

Mailing address

313 Woodmere Blvd
Woodmere, NY 11598-2033

Phone 917-717-1565

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