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Individual

MS. ALISHA SIMONE TRAILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 MARCUS AVE STE S160, NEW HYDE PARK, NY 11042-1011
(516) 519-5600
Mailing address
19435 112TH AVE, SAINT ALBANS, NY 11412-2022
(347) 430-9304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
311632
NY

Other

Enumeration date
06/19/2024
Last updated
06/19/2024
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