Provider Demographics
NPI:1366740854
Name:TERENZIO, ANN C (MSED)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:C
Last Name:TERENZIO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:C
Other - Last Name:TERENZIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSED
Mailing Address - Street 1:24 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-3502
Mailing Address - Country:US
Mailing Address - Phone:917-972-5278
Mailing Address - Fax:
Practice Address - Street 1:24 HALL AVE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-3502
Practice Address - Country:US
Practice Address - Phone:917-972-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist