| NPI | 1811345101 |
|---|---|
| Doing Business As | TEITELBAUM C-PED |
| Entity Type | Organization |
| Authorized Contact | SAMUEL D TEITELBAUM Pedorthist 718-782-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224L00000X Pedorthist (Licence: NY C36411) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-04-19 |