| Mrs Kathleen M Terrence, MD | |
| 
					80 East Main Street, Canton, NY 13617  | |
| (315) 261-7180 | |
| (315) 261-6330 | 
| Full Name | Mrs Kathleen M Terrence | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 80 East Main Street, Canton, New York | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902845621 | NPI | - | NPPES | 
| 02107940 | Medicaid | NY | |
| 366605 | Other | NY | MVP INS PROVIDER NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 216697 (New York) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kathleen M Terrence, MD 50 Leroy Street, Potsdam, NY 13676-1979 Ph: (315) 265-3300  | Mrs Kathleen M Terrence, MD 80 East Main Street, Canton, NY 13617 Ph: (315) 261-7180  | 
Sunny Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Commerce Ln, Canton, NY 13617 Phone: 315-386-8191  | |
Patty Rissacher, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Main St, Canton, NY 13617 Phone: 315-261-7180 Fax: 315-261-7183  |