Individual
DR. TERESA M. AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
Mailing address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
202092
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
202092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00F8299
—
NM
05
—
049202092
—
NY
01
—
DD6518
MEDICARE NY
NY
Enumeration date
05/05/2006
Last updated
06/02/2023
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