| 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 |