Individual
JOSETTE ANNA TEUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 859-7100
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
189048
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
189048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010178401
UNIVERA
—
01
—
000524357001
BC/BS
—
05
—
0016901400001
—
PA
05
—
01843118
—
NY
01
—
040426000989
FIDELIS
—
05
—
1890048
—
NY
01
—
3905833
IHA
—
Enumeration date
09/29/2006
Last updated
11/07/2008
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