Individual provider · Type 1 NPI

Gina Teeter

Specialist · Syracuse, NY

NPI number 1972407468 Active

Practice location

171 Intrepid Ln
Syracuse, NY 13205-2548

Mailing address

5454 Bear Rd
Syracuse, NY 13212-1255

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2108431261 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972407468

Gina Teeter's National Provider Identifier is 1972407468, issued on Oct 7, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Oct 7, 2026.