Healthcare Provider Details

I. General information

NPI: 1376877209
Provider Name (Legal Business Name): ANNETTE TERZO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2009
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 2ND AVE
LONG BRANCH NJ
07740-6303
US

IV. Provider business mailing address

PO BOX 8000 DEPT 601
BUFFALO NY
14267-0002
US

V. Phone/Fax

Practice location:
  • Phone: 732-923-7423
  • Fax:
Mailing address:
  • Phone: 866-295-0041
  • Fax: 708-342-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00208500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: