Individual
ANNA TERAJEWICZ LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5339
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
247939
MA
390200000X
Student in an Organized Health Care Education/Training Program
259075
MA
Other
Enumeration date
03/27/2011
Last updated
11/16/2018
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