# P.A. TERRACIANO, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316084387
- **Authorized official:** ANTHONY JOHN TERRACIANO M.D. (PHYSICIAN)
- **Authorized official phone:** (718) 654-7122

## Contact information

- **Practice address:** 136 E 64TH ST, APT. 2B, DOCTORS OFFICE, NEW YORK, NY 10021-7360
- **Practice address phone:** (212) 688-6060
- **Mailing address:** 2241 ESPLANADE AVE, BRONX, NY 10469-5405
- **Mailing address phone:** (718) 654-7122
- **Mailing address fax:** (718) 547-5876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 214528 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020