William R Tetreault in Latham - Family Medicine

William R Tetreault - NPI 1730138603

William R Tetreault is a Family Medicine in Latham, New York. William R Tetreault practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for William R Tetreault is 1730138603. The last update date is 2018-01-31.

William R Tetreault's current location address is 711 Troy Schenectady Rd Ste 203, Latham, New York. You can contact this provider via phone number 5187823700 and fax number 5187823799. The mailing address for William R Tetreault is 711 Troy Schenectady Rd Ste 203, Latham, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name William R Tetreault
Address 711 Troy Schenectady Rd Ste 203, Latham, New York
Phone Number 5187823700
Fax Number 5187823799
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1730138603
Provider Enumeration Date 2006-05-09
Last Updated Date 2018-01-31

Provider Mailing Address Detail

Address 711 Troy Schenectady Rd Ste 203
City Latham
State New York (NY)
Post Code 121102461
Phone Number 5187823700
Fax Number 5187823799

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 170582
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10002034 NY CDPHP ID
200199 NY SENIOR WHOLE HEALTH
691931 NY EMPIRE BC ID
5691317 NY AETNA ID
8194 NY MVP ID
47362 NY GHI/HMO ID
70216000069 NY FIDELIS
1133504 NY --
401102001 NY BSNENY ID

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FAQs about William R Tetreault

What is the unique provider identifier assigned to William R Tetreault?

The William R Tetreault has been issued the NPI (National Provider Identifier) 1730138603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the William R Tetreault's physical address?

The William R Tetreault is physically located at 711 Troy Schenectady Rd Ste 203, in the city of Latham, NY, with the postal code 121102461.

What is the William R Tetreault's area of specialization and corresponding taxonomy classification?

The William R Tetreault's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the William R Tetreault's 1730138603 issued?

The William R Tetreault's 1730138603 was issued on 2006-05-09.

When was the information regarding William R Tetreault, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William R Tetreault, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-01-31.

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