Provider Demographics
NPI:1366856601
Name:TERZIS, JULIA KALLIPOLITOU (MD,PHD, FACS,FRCS(C))
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:KALLIPOLITOU
Last Name:TERZIS
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Gender:F
Credentials:MD,PHD, FACS,FRCS(C)
Other - Prefix:
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Mailing Address - Street 1:2728 THOMSON AVE
Mailing Address - Street 2:SUITE 620
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2922
Mailing Address - Country:US
Mailing Address - Phone:718-361-2003
Mailing Address - Fax:718-392-2574
Practice Address - Street 1:2728 THOMSON AVE
Practice Address - Street 2:SUITE 620
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2922
Practice Address - Country:US
Practice Address - Phone:718-361-2003
Practice Address - Fax:718-392-2574
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-15
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY180562-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist