| 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 |