Basic Information
| Provider Information | |||||||||
| NPI: | 1003139437 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TEICH | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | JASON | ||||||||
| NamePrefix: | |||||||||
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| Credential: | L.AC. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 7 W 84TH ST | ||||||||
| Address2: | APT. 2 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100244738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9174457232 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7 W 84TH ST | ||||||||
| Address2: | APT. 2 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100244738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9174457232 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2010 | ||||||||
| LastUpdateDate: | 03/12/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 0042581 | NY | Y | Other Service Providers | Acupuncturist | 171100000X | AC12699 | CA | N | Other Service Providers | Acupuncturist |
No ID Information.