Healthcare Provider Details

I. General information

NPI: 1114234838
Provider Name (Legal Business Name): TERRI PARKIN RN, MS, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 14TH AVE STE 550
BROOKLYN NY
11218-3773
US

IV. Provider business mailing address

2 COATES DR
GOSHEN NY
10924-6758
US

V. Phone/Fax

Practice location:
  • Phone: 718-819-6144
  • Fax: 718-819-6145
Mailing address:
  • Phone: 845-651-1400
  • Fax: 845-651-1512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336443
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: