| Doctor Name: | MRS. PEARL TEITELBAUM-FEDER |
| NPI Number: | 1942444716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 692853 |
| Business Practice Address: | 13305 Newport Ave Belle Harbor, NY - 116941427 |
| Business Phone Number: | 7184908772 |
| Business Fax Number: | |
| Mailing Address: | 13305 Newport Ave, BELLE HARBOR |
| State: | NY |
| Postal Code: | 116941427 |
| Phone Number: | 7184908772 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2009 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 692853 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |