Individual
MARK TERJESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 UTOPIA PKWY, JAMAICA, NY 11439-9000
(718) 990-5860
Mailing address
32 COLLINS RD, GLEN COVE, NY 11542-4032
(516) 639-8182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022047-1
NY
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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