Provider Demographics
NPI:1811208390
Name:TERLIZZI, JOSEPH P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:TERLIZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:420 W 23RD STREET
Mailing Address - Street 2:PB 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-242-6500
Mailing Address - Fax:212-242-3111
Practice Address - Street 1:420 W 23RD ST
Practice Address - Street 2:PB 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2172
Practice Address - Country:US
Practice Address - Phone:212-242-6500
Practice Address - Fax:212-242-3111
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY280678208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery