Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Tetreault

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356784839

Nicole Tetreault is a Family Practice in Schenectady, New York. Qualified in 2009, 17 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3757 Carman Rd Ste 100
Schenectady, NY 12303-5438
Phone: (518) 355-7063
Fax: (518) 357-0646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 284361 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356784839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2013
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing address711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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