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NPI Code Detail

MEDICARE: MA GINA TERZI

MEDICARE:   MA GINA  TERZI
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
1363LF0000XFamily Nurse PractitionerF344522-01NY
2163W00000XRegistered Nurse633443NY

General Provider Information

NPI Number : 1932402849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MA GINA TERZI
Provider Business Mailing Address
First Line : 20 EAST AVE
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-4711
Country : US
Telephone Number : 516-761-2442
Fax Number :
Provider Business Practice Location Address
First Line : 20 EAST AVE
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-4711
Country : US
Telephone Number : 516-761-2442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2010
Last Update Date : 02/13/2020

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Directions to “ MA GINA TERZI ” Practice Location

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