Thomas John Kuettel
Family Doctor - Addiction Medicine
9556 State Highway 7, Unit 2
Worcester
, New York 12197-1219
Thomas John Kuettel
Family Doctor - Addiction Medicine
9556 State Highway 7, Unit 2
Worcester
, New York 12197-1219
(607) 397-4052
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Thomas John Kuettel
- Po Box 637
- Worcester, NY
- Zip : 12197-0637
- Fax : (607) 397-4052
- Phone : (607) 397-4052
Second Address
- Thomas John Kuettel
- 9556 State Highway 7, Unit 2
- Worcester, NY
- Zip : 12197-1219
- Fax : (607) 397-4052
- Phone : (518) 281-7987
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 166689 | NY |
National Provider Identifier
| NPI | 1326106956 |
|---|---|
| Provider Name | Thomas John Kuettel |
| First Address | Worcester, NY 12197-0637 |
| Second Address | Worcester, NY 12197-1219 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 24/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01246217 | (05) | NY |
| E99073 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.