Organization
P.A. TERRACIANO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY TERRACIANO MD (PHYSICIAN)
(718) 654-7122
Entity
Organization
Contact information
Practice address
2241 ESPLANADE AVE, BRONX, NY 10469-5405
(718) 654-7122
Mailing address
2241 ESPLANADE AVE, BRONX, NY 10469-5405
(718) 654-7122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
214528
NY
207W00000X
Ophthalmology Physician
91750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
424B0DW311
ANTHONY TERRACIANO, MD
—
01
—
49666DW311
PASQUAL TERRACIANO, MD
—
Enumeration date
08/14/2006
Last updated
10/23/2007
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