Individual
JENNIFER LEIGH THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
84 BROAD ST STE 1, GLENS FALLS, NY 12801-4381
(518) 798-9538
(518) 798-9576
Mailing address
84 BROAD ST STE 1, GLENS FALLS, NY 12801-4381
(518) 798-9538
(518) 798-9576
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243818
NY
Other
Enumeration date
05/14/2008
Last updated
05/22/2020
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