Copeland, Terese Agnes

Copeland, Terese Agnes is an sole proprietor health care provider with primary practice located at 414 Maple Ave Ste 600 , Saratoga Springs NY 12866. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Copeland, Terese Agnes can be contacted via phone (518) 581-0999.

Contact Information

Primary practice address
414 Maple Ave Ste 600 Saratoga Springs NY 12866
Fax: (518) 581-7098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 206064 New York

Profile Details

NPI number 1316936339
LBN Legal business name Copeland, Terese Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated May 25th, 2018 - about 6 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 1316936339 NPPES
New York MEDICAID 01760076

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