Provider Demographics
NPI:1780647743
Name:MCELGUN, TERENCE MICHAEL (DPM)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:MICHAEL
Last Name:MCELGUN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:TERENCE
Other - Middle Name:MICHAEL
Other - Last Name:MCELGUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:SUITE 223
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5801
Mailing Address - Country:US
Mailing Address - Phone:516-746-4732
Mailing Address - Fax:516-746-4947
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:SUITE 223
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5801
Practice Address - Country:US
Practice Address - Phone:516-746-4732
Practice Address - Fax:516-746-4947
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004260213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery