| NPI | 1528208881 |
|---|---|
| Doing Business As | THEODORE S PABST III |
| Entity Type | Organization |
| Authorized Contact | THEODORE SHUSTER PABST CEO 518-562-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 2086S0129X (Licence: NY 203101-1) |
| 2086S0129X (Licence: NY 187640-1) | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2023-03-03 |