Provider Demographics
NPI:1598135030
Name:TERRANOVA-FINI, GIULIETTA
Entity Type:Individual
Prefix:MRS
First Name:GIULIETTA
Middle Name:
Last Name:TERRANOVA-FINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BELLA VISTA CT
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL HALL
Mailing Address - State:NY
Mailing Address - Zip Code:10916-2123
Mailing Address - Country:US
Mailing Address - Phone:845-234-1458
Mailing Address - Fax:
Practice Address - Street 1:12 BELLA VISTA CT
Practice Address - Street 2:
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916-2123
Practice Address - Country:US
Practice Address - Phone:845-234-1458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-27
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008620-1172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker