Basic Information
| Provider Information | |||||||||
| NPI: | 1841377231 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TERRANI | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 231302 | ||||||||
| Address2: | |||||||||
| City: | GREAT NECK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110230302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166636400 | ||||||||
| FaxNumber: | 5166636404 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 GARDEN CITY PLZ | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GARDEN CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115303301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166636400 | ||||||||
| FaxNumber: | 5166636404 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 05/31/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 197817 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.