| Ernest S Terranova Md Pc | |
|
1 Harbor Pl South Salem NY 10590-1505 | |
| (914) 666-7722 | |
| (914) 244-8859 |
| Full Name | Ernest S Terranova Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Harbor Pl, South Salem, New York |
| Authorized Official Name and Position | Ernest S Terranova (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9146667722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest S Terranova Md Pc 1 Harbor Pl South Salem NY 10590-1505 Ph: (914) 666-7722 | Ernest S Terranova Md Pc 1 Harbor Pl South Salem NY 10590-1505 Ph: (914) 666-7722 |
| NPI Number | 1184720633 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/06/2013 |
| Medicare PECOS PAC ID | 0143302083 |
|---|---|
| Medicare Enrollment ID | O20080130000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184720633 | NPI | - | NPPES |
| 00887238 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 144202 (New York) | Primary |
| Provider Name | Ernest Terranova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093746448 PECOS PAC ID: 8729084702 Enrollment ID: I20061014000047 |
Palliative Medicine Of New York, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Shady Ln, South Salem, NY 10590 Phone: 914-533-2290 Fax: 718-960-4517 |