Teri Martin Family Nurse Practitioner Pc

NPI 1245647189 - Clinic/Center - 261QP2300X

NPI Details
NPI 1245647189
Enumeration Date 07/11/2014
Last Updated 07/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TERI ANN TERI
Position OWNER
Phone (518) 852-5847
Fax
Practice Location
10 NORTH RIDGE EXTENSION
WINDHAM NY, 12496-0794, US
Phone (518) 852-5847
Fax
Business Location
10 NORTH RIDGE EXTENSION
PO BOX 794
WINDHAM NY, 12496-0794, US
Phone (518) 852-5847
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State New York
License Number 330978
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According to our database, Teri Martin Family Nurse Practitioner Pc NPI is 1245647189, taxonomy code is 261QP2300X and license number is 330978, license state is located at New York. Teri Martin Family Nurse Practitioner Pc physically located at 10 North Ridge Extension, Windham NY, 12496-0794. NPI Number 1033115704 has the healthcare provider type.

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1245647189 NPI number is provided on an as is basis without warranty of any kind. 1245647189 is maintained by the National Plan & Provider Enumeration System. The contents of Teri Martin Family Nurse Practitioner Pc are for informational purposes only.