Provider Demographics
NPI:1588815062
Name:TERMINI MEDICAL CARE, PC
Entity Type:Organization
Organization Name:TERMINI MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TERMINI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-254-4420
Mailing Address - Street 1:1452 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1209
Mailing Address - Country:US
Mailing Address - Phone:631-254-4480
Mailing Address - Fax:631-254-4970
Practice Address - Street 1:1452 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-1209
Practice Address - Country:US
Practice Address - Phone:631-254-4480
Practice Address - Fax:631-254-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205431207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04B052Medicare PIN