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Tairu Trerra
NPI 1043622269 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1296 Sheridan Ave Apt 3i
Bronx, NY 10456 - Phone
- (646) 546-1431
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York