MEDICARE: DR. TERESA FARRUGIA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	226474	NY

General Provider Information

NPI Number	:	1861465155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA FARRUGIA DO

Provider Business Mailing Address
First Line	:	95 GRAND AVE
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-4905
Country	:	US
Telephone Number	:	516-799-7500
Fax Number	:	516-799-2075

Provider Business Practice Location Address
First Line	:	95 GRAND AVE
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-4905
Country	:	US
Telephone Number	:	516-799-7500
Fax Number	:	516-799-2075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	10/15/2015

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