Individual
TERRANCE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 AVENUE D, NEW YORK, NY 10009-6935
(646) 395-4405
Mailing address
9108 COLONIAL RD APT A7, BROOKLYN, NY 11209-6126
(845) 774-5074
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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