Provider Demographics
NPI:1871578450
Name:TEITEL, ARIEL DAN (MD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:DAN
Last Name:TEITEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:26 W 38TH ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6276
Mailing Address - Country:US
Mailing Address - Phone:212-221-7971
Mailing Address - Fax:212-221-7973
Practice Address - Street 1:37 W 26TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1006
Practice Address - Country:US
Practice Address - Phone:212-221-7971
Practice Address - Fax:866-546-3236
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2011-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY177768207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01193888Medicaid
NY37F991Medicare ID - Type Unspecified
NY01193888Medicaid