Provider Demographics
NPI:1548432735
Name:NORTH SUFFOLK ENDOCRINOLOGY, P.C.
Entity Type:Organization
Organization Name:NORTH SUFFOLK ENDOCRINOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:TERRANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-979-4048
Mailing Address - Street 1:4 MIDVALE DR
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2025
Mailing Address - Country:US
Mailing Address - Phone:631-979-4048
Mailing Address - Fax:
Practice Address - Street 1:57 SOUTHERN BOULEVARD
Practice Address - Street 2:SUITE 1
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1043
Practice Address - Country:US
Practice Address - Phone:631-979-4048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215796207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH34654Medicare UPIN