Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medical Teleheath Blue, PLLC

Organization Internal Medicine Physician · NPI 1083306765

Medical Teleheath Blue, PLLC is an Internal Medicine Physician in Bethpage, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4271 Hempstead Tpke
Bethpage, NY 11714-5708
Phone: (516) 714-3766
Fax: (516) 268-6398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1083306765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Haller — President · (516) 900-7922
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing addressPo Box 621, Woodmere, NY 11598-0621

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