Provider Demographics
NPI:1982853768
Name:KRESS, TERESA MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIE
Last Name:KRESS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1552
Mailing Address - Country:US
Mailing Address - Phone:716-833-9000
Mailing Address - Fax:716-833-9037
Practice Address - Street 1:3527 HARLEM RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1552
Practice Address - Country:US
Practice Address - Phone:716-833-9000
Practice Address - Fax:716-833-9037
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218455-1313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility