Provider Demographics
NPI:1003871732
Name:TERZO, HOLLY JOY (NP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:JOY
Last Name:TERZO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:460 CROSS KEYS OFFICE PARK
Mailing Address - Street 2:FAIRPORT PEDIATRICS
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450
Mailing Address - Country:US
Mailing Address - Phone:585-223-6111
Mailing Address - Fax:585-223-0878
Practice Address - Street 1:460 CROSS KEYS OFFICE PARK
Practice Address - Street 2:FAIRPORT PEDIATRICS
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450
Practice Address - Country:US
Practice Address - Phone:585-223-6111
Practice Address - Fax:585-223-0878
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3812241363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics