Michael James Teta, PA

NPI #1588120901 in Mount Kisco, New York

Provider Information

NPI Number: 1588120901
Entity Type: Individual
Name: Michael James Teta, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 11, 2019
Last Updated: Feb 11, 2019

Practice Location

Address: 400 E MAIN ST
City: Mount Kisco
State: New York
ZIP Code: 10549-3417
Phone: (516) 625-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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