Provider Demographics
NPI:1528322096
Name:TEIGMAN, EVE (MS ED)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:TEIGMAN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:
Other - Last Name:MAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:3024 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4745
Mailing Address - Country:US
Mailing Address - Phone:718-764-6354
Mailing Address - Fax:
Practice Address - Street 1:3024 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4745
Practice Address - Country:US
Practice Address - Phone:718-764-6354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1103512174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist