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Contact Information

MICHAEL J TETA, PA
400 E MAIN ST
MOUNT KISCO, NY10549-3417
 Phone: 516-625-1014
 Fax: 516-414-4011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL J TETA · (Male)

NPI # 1588120901
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/11/2019
Last updated 02/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 023206
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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