Individual
MICHAEL JOHN TERZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
Mailing address
NORTHERN BLVD PO BOX 8000, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
219892
NY
207Q00000X
Family Medicine Physician
219892
NY
Other
Enumeration date
05/10/2006
Last updated
06/04/2008
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