Individual
TERESA EICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 PETRA LN, ALBANY, NY 12205-4973
(518) 452-0445
(518) 452-3489
Mailing address
75 MOUNTAIN VIEW RD, NASSAU, NY 12123-3715
(518) 479-0662
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
361295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361295
RN LICENSE
NM
Enumeration date
03/22/2007
Last updated
07/08/2007
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