SearchNew York1041C0700X

Theresa Bourquin

NPI 1134507494 · on the registry since 2015 · sole proprietor

Practice

Address
77 Main St
Hudson Falls, NY 12839
Phone
(518) 746-1499
Fax
(518) 747-8806
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York