Provider Demographics
NPI:1770875445
Name:ARMON, TERESA C (NPP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:C
Last Name:ARMON
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:CIESINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:75 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3409
Mailing Address - Country:US
Mailing Address - Phone:518-447-9611
Mailing Address - Fax:518-447-9630
Practice Address - Street 1:75 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3409
Practice Address - Country:US
Practice Address - Phone:518-447-9611
Practice Address - Fax:518-447-9630
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401338-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health