Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel D. Teitelbaum, C-PED

Individual provider Specialist · NPI 1528197118

Samuel D. Teitelbaum, C-PED is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

166 Ross St
Brooklyn, NY 11211
Phone: (718) 782-0600
Fax: (718) 782-0611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20546 (NY)

Record details

NPI number1528197118
Entity typeIndividual (Type 1)
GenderMale
Credentials C-PED
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

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