Jennifer Leigh Theriot, MD | |
84 Broad St Ste 1, Glens Falls, NY 12801-4381 | |
(518) 798-9538 | |
(518) 798-9576 |
Full Name | Jennifer Leigh Theriot |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 84 Broad St Ste 1, Glens Falls, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891962395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 243818 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Leigh Theriot, MD 84 Broad St Ste 1, Glens Falls, NY 12801-4381 Ph: (518) 798-9538 | Jennifer Leigh Theriot, MD 84 Broad St Ste 1, Glens Falls, NY 12801-4381 Ph: (518) 798-9538 |
Kate Shelburne, D.O Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Lawrence St, Glens Falls, NY 12801 Phone: 518-798-9985 | |
Kathryn Day Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren Street, Glens Falls Pediatric Consultants, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Dr. Amy E. Mcgarry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren Street, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Dr. Roger F Levac, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 Fax: 518-798-9576 | |
Lauren M Meilhede, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 | |
Stuart B Wright, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren St, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Susan E Moore, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren St, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 |