| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245647189 | NPI | - | NPPES |
| 02093850 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 330978 (New York) | Primary |