Individual
TRINISHA SANJURJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 JAMES ST STE 211, SYRACUSE, NY 13206-2238
(315) 796-6666
Mailing address
2817 JAMES ST STE 211, SYRACUSE, NY 13206-2238
(315) 796-6666
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
20-1302Y10
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-2101439
—
NY
Enumeration date
06/14/2019
Last updated
05/29/2020
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