Doctor Name: | HOLLY JOY TERZO |
NPI Number: | 1003871732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F3812241 |
Business Practice Address: | 460 Cross Keys Office Park Fairport Pediatrics Fairport, NY - 14450 |
Business Phone Number: | 5852236111 |
Business Fax Number: | 5852230878 |
Mailing Address: | 460 Cross Keys Office Park, Fairport Pediatrics FAIRPORT |
State: | NY |
Postal Code: | 14450 |
Phone Number: | 5852236111 |
Fax Number: | 5852230878 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F3812241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |