SearchNew York235Z00000X

Amanda Trevicano

NPI 1588028278 · on the registry since 2016 · sole proprietor

Practice

Address
221 Beach 136th St
Belle Harbor, NY 11694
Phone
(917) 440-6779

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-31

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