HOLLY JOY TERZO NP NPI 1003871732

Nurse Practitioner (Pediatrics) in Fairport, NY

About HOLLY TERZO

Holly Terzo is a provider in Fairport, NY. The NPI number assigned to this provider is 1003871732. The practitioner's primary taxonomy code is Nurse Practitioner (363LP0200X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871732 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name HOLLY JOY TERZO NP
Provider Location Address460 CROSS KEYS OFFICE PARK FAIRPORT PEDIATRICS FAIRPORT, NY 14450 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address460 CROSS KEYS OFFICE PARK FAIRPORT PEDIATRICS FAIRPORT, NY 14450 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

HOLLY JOY TERZO NP
460 CROSS KEYS OFFICE PARK
FAIRPORT PEDIATRICS
FAIRPORT, NY
ZIP 14450
Phone: (585) 223-6111
Fax: (585) 223-0878
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Mailing Address

HOLLY JOY TERZO NP
460 CROSS KEYS OFFICE PARK
FAIRPORT PEDIATRICS
FAIRPORT, NY
ZIP 14450
Phone: (585) 223-6111
Fax: (585) 223-0878

Primary Taxonomy

Taxonomy Code363LP0200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPediatrics
License No.F3812241
License StateNY

Map Location


HOLLY JOY TERZO NP address is 460 CROSS KEYS OFFICE PARK FAIRPORT PEDIATRICS FAIRPORT, NY 14450

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205894615 STEPHANIE ANN EMERSON NP
Individual
Nurse Practitioner (Pediatrics)460 CROSS KEYS OFFICE PARK FAIRPORT PEDIATRICS
FAIRPORT, NY 14450
(585) 223-6111
1720046402 JEFFREY CRAIG EISENBERG MD
Individual
Pediatrics460 CROSS KEYS OFFICE PARK FAIRPORT PEDIATRICS
FAIRPORT, NY 14450
(585) 223-6111