DR. M.D. William R Tetreault, NPI 1730138603
Family Medicine Physician in Schenectady, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1730138603
NPI Entity Type Individual
Provider Name DR. M.D. William R Tetreault
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3757 Carman Rd, Suite 100, Schenectady, NY, US
Provider Mailing Address 711 Troy Schenectady Rd Ste 203, Latham, NY, US, 121102461
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 170582
License State NY
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. M.D. William R Tetreault
3757 Carman Rd
Suite 100

Schenectady, NY, US

Phone: 518-355-7063
Fax: 518-357-0646

Mailing Address

DR. M.D. William R Tetreault
711 Troy Schenectady Rd Ste 203
Latham, NY, US
ZIP 121102461
Phone: 518-782-3700
Fax: 518-782-3799

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
10002034 NY CDPHP ID 01
200199 NY SENIOR WHOLE HEALTH 01
691931 NY EMPIRE BC ID 01
5691317 NY AETNA ID 01
08194 NY MVP ID 01
47362 NY GHI/HMO ID 01
070216000069 NY FIDELIS 01
01133504 NY MEDICAID 05
000401102001 NY BSNENY ID 01

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NPI Name Taxonomy Address

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Crysta Song

Individual

Speech-Language Pathologist

212 Garretson Ave

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