Individual provider · Type 1 NPI
Nicholas Stephen Teodoro, MD
Obstetrics & Gynecology Physician · Lake Grove, NY
Practice location
4 Smith Haven Mall Ste 1
Lake Grove, NY 11755-1219
Fax (631) 444-4622
Mailing address
101 Nicolls Rd # HSC8
Stony Brook, NY 11794-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 318989 (NY) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
About NPI 1225527922
Nicholas Stephen Teodoro, MD's National Provider Identifier is 1225527922, issued on May 8, 2018. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 12, 2025.