Individual
DR. TERILYN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
99 BOWERY FL 1, NEW YORK, NY 10002-4911
(212) 756-6688
Mailing address
5604 7TH AVE STE 1, BROOKLYN, NY 11220-4660
(917) 508-5888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR25039900
NJ
163W00000X
Registered Nurse
757078
NY
163W00000X
Registered Nurse
95243378
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
432632
NY
Other
Enumeration date
07/03/2023
Last updated
03/04/2025
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