Individual
DR. MICHAEL D. TERRANOVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5330 GENESEE ST, BOWMANSVILLE, NY 14026-1035
(716) 684-6140
Mailing address
5330 GENESEE ST, BOWMANSVILLE, NY 14026-1035
(716) 684-6140
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
157125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00877569
—
NY
Enumeration date
04/22/2006
Last updated
07/08/2007
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