Individual provider · Type 1 NPI

Isaac Teboul, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1396303525 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (212) 263-6906 Map

Mailing address

7301 180th St
Fresh Meadows, NY 11366-1605

Other practice locations

  • 30 Harrison St Ste 400, Johnson City, NY 13790-2176 · (607) 763-8008

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Neurology Physician 2084N0400X325081 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396303525

Isaac Teboul, MD's National Provider Identifier is 1396303525, issued on Jun 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 4, 2026.