SearchNew York1223P0221X

Casey Tenniswood, DDS

NPI 1164653630 · on the registry since 2009 · sole proprietor

Practice

Address
532 Moe Rd
Clifton Park, NY 12065
Phone
(518) 373-1181
Fax
(518) 348-6517
Organisation at this address
James Mcdonnell Inc
Four Seasons Pediatrics, Llc
Four Seasons Pediatrics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
Licence states on file
MI, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-01

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