Individual
MARCIA TRELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED TEACHER
Contact information
Practice address
445 ATKINS AVE, BROOKLYN, NY 11208-4411
(718) 207-9839
Mailing address
445 ATKINS AVE, BROOKLYN, NY 11208-4411
(718) 207-9839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
077252011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811310295
—
NY
Enumeration date
11/22/2016
Last updated
11/22/2016
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