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Individual

JOHN R TRINIDAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
193 GREENE AVE, SAYVILLE, NY 11782-3002
(631) 589-1706
(631) 218-1863
Mailing address
193 GREENE AVE, SAYVILLE, NY 11782-3002
(631) 589-1706
(631) 218-1863

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002883
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00400189
NY
01
P3201
BC
Enumeration date
10/11/2005
Last updated
11/28/2011
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