Teri Martin Family Nurse Practitioner Pc | |
10 North Ridge Extension Windham NY 12496-0794 | |
(518) 852-5847 | |
Not Available |
Full Name | Teri Martin Family Nurse Practitioner Pc |
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Speciality | Clinic/center - Primary Care |
Location | 10 North Ridge Extension, Windham, New York |
Authorized Official Name and Position | Teri Ann Martin (OWNER) |
Authorized Official Contact | 5188525847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Teri Martin Family Nurse Practitioner Pc 10 North Ridge Extension Po Box 794 Windham NY 12496-0794 Ph: (518) 852-5847 | Teri Martin Family Nurse Practitioner Pc 10 North Ridge Extension Windham NY 12496-0794 Ph: (518) 852-5847 |
NPI Number | 1245647189 |
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Provider Enumeration Date | 07/11/2014 |
Last Update Date | 07/11/2014 |
Identifier | Type | State | Issuer |
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1245647189 | NPI | - | NPPES |
02093850 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 330978 (New York) | Primary |