Individual
DR. MILLICENT H TREVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4041 DELAWARE AVE, TONAWANDA, NY 14150
(716) 876-5512
(716) 876-7342
Mailing address
4041 DELAWARE AVE, TONAWANDA, NY 14150
(716) 876-5512
(716) 876-7342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025601301
UNIVERA
—
01
—
000526444001
BLUE CROSS BLUE SHIELD
—
01
—
0086173
GHI
—
05
—
02273210
—
NY
01
—
0711192
IHA
—
01
—
156782CK
PREFERRED CARE
—
01
—
160056905
RAILROAD BLOCK 24K
—
Enumeration date
06/05/2006
Last updated
03/07/2023
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