National Provider Identifier

Matt Paul Terranova

Matt Paul Terranova is listed in the NPPES registry with a primary specialty of Counselor in Sanborn, NY and a listed phone number of (716) 308-7561.

NPI 1902424864Sanborn, NYCounselor

Profile Overview

NPI
1902424864
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
July 08, 2020
Last Updated
July 08, 2020

Practice Location

  • 6302 Inducon Dr E
  • Sanborn, NY 14132-9015

Phone: (716) 308-7561

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1902424864
Entity Type
Individual
Last Name
Terranova
First Name
Matt
Middle Name
Paul
Mailing Street Address
6302 Inducon Dr E
Mailing City
Sanborn
Mailing State
NY
Mailing ZIP Code
14132-9015
Mailing Country
US
Mailing Phone
(716) 308-7561
Practice Street Address
6302 Inducon Dr E
Practice City
Sanborn
Practice State
NY
Practice ZIP Code
14132-9015
Practice Country
US
Practice Phone
(716) 308-7561
Enumeration Date
July 08, 2020
Last Updated
July 08, 2020
Sex
Male
Sole Proprietor
No
Certification Date
July 08, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)