Provider Demographics
NPI:1811907710
Name:TEICH, STEVEN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:TEICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 E 68TH ST
Mailing Address - Street 2:GROUND FL - BOX P1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5844
Mailing Address - Country:US
Mailing Address - Phone:212-734-9170
Mailing Address - Fax:212-734-9061
Practice Address - Street 1:20 E 68TH ST
Practice Address - Street 2:GROUND FL - BOX P1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5844
Practice Address - Country:US
Practice Address - Phone:212-734-9170
Practice Address - Fax:212-734-9061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2017-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY127558207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00440693Medicaid
B00135Medicare UPIN
NY00440693Medicaid