Provider Demographics
NPI:1932867306
Name:TERRANOVA, GIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:GIA
Middle Name:
Last Name:TERRANOVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GIA
Other - Middle Name:
Other - Last Name:MANCINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 GREENHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1607
Mailing Address - Country:US
Mailing Address - Phone:631-252-5155
Mailing Address - Fax:
Practice Address - Street 1:7 HIGH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7605
Practice Address - Country:US
Practice Address - Phone:631-423-7700
Practice Address - Fax:631-423-7706
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency