Individual
TREVOR GOLBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 10TH AVE, 10G, NEW YORK, NY 10019-1147
(212) 636-3400
(212) 636-3296
Mailing address
618 POWELLS LN, WESTBURY, NY 11590-1321
(516) 445-6128
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005726
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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