DR. WILLIAM R TETREAULT M.D. NPI 1730138603

NPI Information

NPI: 1730138603
Provider Name: DR. WILLIAM R TETREAULT, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3757 CARMAN RD
SUITE 100
SCHENECTADY, NY
ZIP 12303
Phone: (518) 355-7063
Get Directions

DR. William R Tetreault, M.D. is a family medicine in Schenectady, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. William R Tetreault, M.D. NPI is 1730138603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3757 CARMAN RD
SUITE 100
SCHENECTADY, NY
ZIP 12303-418
Phone: (518) 355-7063
Fax: (518) 357-0646

The NPI 1730138603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		170582	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000401102001	OTHER	NEW YORK	BSNENY ID
2	200199	OTHER	NEW YORK	SENIOR WHOLE HEALTH
3	47362	OTHER	NEW YORK	GHI/HMO ID
4	10002034	OTHER	NEW YORK	CDPHP ID
5	070216000069	OTHER	NEW YORK	FIDELIS
6	08194	OTHER	NEW YORK	MVP ID
7	5691317	OTHER	NEW YORK	AETNA ID
8	01133504	MEDICAID	NEW YORK
9	691931	OTHER	NEW YORK	EMPIRE BC ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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