MICHAEL JAMES TETA

MOUNT KISCO, NY
NPI1588120901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023206)
Enumeration Date2019-02-11
Last Update Date2019-02-11
Business Address
MICHAEL JAMES TETA PA
400 E MAIN ST
MOUNT KISCO, NY 10549-3417
Phone number: 516-625-1014
Mailing Address
MICHAEL JAMES TETA PA
112 MADISON AVE
GARDEN CITY PARK, NY 11040-5229
Phone number: 516-625-1014