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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1265587117 NPPES
New York Other F333567-1 STATE LICENSE NUMBER

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