Organization
P.A. TERRACIANO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOHN TERRACIANO M.D. (PHYSICIAN)
(718) 654-7122
Entity
Organization
Contact information
Practice address
9920 4TH AVE, SUITE #209, BROOKLYN, NY 11209-8333
(718) 238-2667
(718) 238-5258
Mailing address
2241 ESPLANADE AVE, BRONX, NY 10469-5405
(718) 654-7122
(718) 547-5876
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
214528
NY
Other
Enumeration date
01/31/2007
Last updated
11/07/2010
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