Hargrave, Teresa Menke

Hargrave, Teresa Menke is an individual health care provider with primary practice located at 742 James St , Syracuse NY 13203-2017. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hargrave, Teresa Menke can be contacted via phone (315) 703-2800.

Contact Information

Primary practice address
742 James St Syracuse NY 13203-2017
Phone: (315) 703-2800
Fax: (315) 703-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 117677 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 117677 New York

Profile Details

NPI number 1639132079
LBN Legal business name Hargrave, Teresa Menke
Credentials MD, MPH, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 6th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639132079 NPPES
New York MEDICAID 01076113

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