Terranova Medical, Pllc | |
778 White Plains Rd Scarsdale NY 10583-5005 | |
(914) 574-6161 | |
(914) 340-0740 |
Full Name | Terranova Medical, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 778 White Plains Rd, Scarsdale, New York |
Authorized Official Name and Position | Santo Primo Terranova (OWNER) |
Authorized Official Contact | 9145746161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Terranova Medical, Pllc 778 White Plains Rd Scarsdale NY 10583-5005 Ph: (914) 574-6161 | Terranova Medical, Pllc 778 White Plains Rd Scarsdale NY 10583-5005 Ph: (914) 574-6161 |
NPI Number | 1164143046 |
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Provider Enumeration Date | 09/08/2022 |
Last Update Date | 09/08/2022 |
Certification Date | 09/08/2022 |
Medicare PECOS PAC ID | 7315313566 |
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Medicare Enrollment ID | O20221013001276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164143046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Santo Primo Terranova |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1982865358 PECOS PAC ID: 7911191937 Enrollment ID: I20101103000472 |
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