Individual
DR. MARYANN Z TRIVLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
131 BEACH 138TH ST, BELLE HARBOR, NY 11694-1337
(718) 945-0770
(718) 945-7938
Mailing address
131 BEACH 138TH ST, BELLE HARBOR, NY 11694-1337
(718) 945-0770
(718) 945-7938
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003929-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00909839
—
NY
Enumeration date
07/19/2005
Last updated
11/09/2022
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