| NPI | 1700035169 |
|---|---|
| Doing Business As | TEITELBAUM C-PED |
| Entity Type | Organization |
| Authorized Contact | SAMUEL TEITELBAUM Pedorthist 718-782-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-04-08 |