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Individual

JOHN P TERRANELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1368 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 983-8080
(718) 816-5465
Mailing address
1368 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 983-8080
(718) 816-5465

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003649
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00789217
NY
Enumeration date
08/29/2006
Last updated
04/22/2016
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