Healthcare Provider Details

I. General information

NPI: 1841377231
Provider Name (Legal Business Name): MICHAEL TERRANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GARDEN CITY PLZ SUITE 100
GARDEN CITY NY
11530-3301
US

IV. Provider business mailing address

PO BOX 231302
GREAT NECK NY
11023-0302
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-6400
  • Fax: 516-663-6404
Mailing address:
  • Phone: 516-663-6400
  • Fax: 516-663-6404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number197817
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: