Individual
SALLY TERRERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-5449
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-5449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
420386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560265002
BLUE CROSS OF WNY
NY
01
—
9512668
INDEPENDENT HEALTH
NY
Enumeration date
07/27/2006
Last updated
07/08/2007
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