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Nicole Tetreault
Family Medicine Physician in Schenectady, New York
NPI 1356784839

Nicole Tetreault is a Family Medicine Physician based in Latham, NY. Nicole Tetreault practices in Schenectady, NY. The NPI Number for Nicole Tetreault is 1356784839 and holds a License No. (New York).

The current practice location address for Nicole Tetreault is 3757 Carman Rd Ste 100, Schenectady, NY and can be reached out via phone at 518-355-7063 and via fax at 518-357-0646.

Location: 3757 Carman Rd Ste 100, Schenectady, NY, 12110-2461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356784839
Provider Name
Nicole Tetreault
Credential
Provider Entity Type
Individual
Gender
Female
Address
3757 Carman Rd Ste 100, Schenectady, NY, 12110-2461
Phone Number
518-355-7063
Fax Number
518-357-0646
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04849969 05 NY
5915911 01 NY AETNA
J400411668 01 NY MEDICARE
8592D1 01 NY EMPIRE BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
3757 Carman Rd Ste 100
City
Schenectady
State
New York
Zip
12303-5438
Phone Number
518-355-7063
Fax Number
518-357-0646
person
Provider Business Mailing Address Details
Address
3757 Carman Rd Ste 100
City
Schenectady
State
New York
Zip
12303-5438
Phone Number
518-355-7063
Fax Number
518-357-0646
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
284361 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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