TERRACE MEDICAL PC NPI 1588850911

NPI Information

NPI: 1588850911
Provider Name: TERRACE MEDICAL, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 33D0908039

Address:
214 06 16TH AVENUE
BAYSIDE, NY
ZIP 11360
Phone: (718) 224-3734
Get Directions

TERRACE MEDICAL, PC is a cardiovascular disease internal medicine in Bayside, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. TERRACE MEDICAL, PC NPI is 1588850911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

214 06 16TH AVENUE
BAYSIDE, NY
ZIP 11360-218
Phone: (718) 224-3734
Fax: (718) 224-4720

The provider's authorized official is Stuart Okin .
The authorized official title is Owner and has the following contact phone number (718) 224-3734.

The CLIA number assigned to this NPI record is 33D0908039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06858	MEDICARE PIN	NEW YORK
2	10N783	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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