# THERESA M. PITTMAN, ADULT NURSE PRACTITIONER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275086100
- **Authorized official:** THERESA M. PITTMAN ANP-BC (OWNER)
- **Authorized official phone:** (518) 434-1087

## Contact information

- **Practice address:** 16 ASPRION RD, GLENMONT, NY 12077-3300
- **Practice address phone:** (518) 225-9929
- **Mailing address:** 16 ASPRION RD, GLENMONT, NY 12077-3300
- **Mailing address phone:** (518) 225-9929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 304380 | NY | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 08/23/2016