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NPI Code Detail

MEDICARE: SUSAN TEATOR

MEDICARE: SUSAN TEATOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse311410NY

General Provider Information

NPI Number : 1750537890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN TEATOR
Provider Business Mailing Address
First Line : PO BOX 148
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-0148
Country : US
Telephone Number : 518-449-1142
Fax Number :
Provider Business Practice Location Address
First Line : 87 WASHINGTON ST
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-2613
Country : US
Telephone Number : 518-449-1142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2008
Last Update Date : 08/08/2008

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Directions to “ SUSAN TEATOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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