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Individual

DAVID TREVISO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
(631) 385-7795
Mailing address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NY

Other

Enumeration date
02/02/2016
Last updated
10/11/2016
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Product
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  • EDI platform