Individual
ANNA TRUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(646) 339-9718
Mailing address
2150 CENTER AVE APT 11H, FORT LEE, NJ 07024-5803
(646) 339-9718
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018832
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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