Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 144202 | NY |
NPI | 1093746448 |
---|---|
Provider Name | Dr. Ernest S Terranova |
First Address | South Salem, NY 10590-1505 |
Second Address | South Salem, NY 10590-1505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 06/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00887238 | (05) | NY |
113098544 | TAX IDENTIFICATION NUMBER (01) | NY |
B14510 | (02) | NY |