Provider Demographics
NPI:1013584622
Name:TEITELBAUM, YOCHEVED (OTR/L)
Entity Type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:
Last Name:TEITELBAUM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4816
Mailing Address - Country:US
Mailing Address - Phone:646-363-4517
Mailing Address - Fax:
Practice Address - Street 1:1129 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4816
Practice Address - Country:US
Practice Address - Phone:646-363-4517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist