Klausner, Theresa Intilli
Klausner, Theresa Intilli is an sole proprietor health care provider with primary practice located at 4104 State Highway 30 , Amsterdam NY 12010-6202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Klausner, Theresa Intilli can be contacted via phone (518) 883-8620.Contact Information
Primary practice address
4104 State Highway 30
Amsterdam NY 12010-6202
Phone: (518) 883-8620
Fax: (518) 883-5653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F333567-1 | New York |
Profile Details
| NPI number | 1265587117 |
|---|---|
| LBN Legal business name | Klausner, Theresa Intilli |
| Credentials | MS, APRN, BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Oct 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265587117 | NPPES |
| New York | Other | F333567-1 | STATE LICENSE NUMBER |
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