Individual
DR. JOHANNA TRIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
194 OLD BULLS HEAD RD, CLINTON CORNERS, NY 12514-2856
(845) 266-3595
(845) 677-2101
Mailing address
194 OLD BULLS HEAD RD, CLINTON CORNERS, NY 12514-2856
(845) 266-3595
(845) 677-2101
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
140416
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00807070
—
NY
Enumeration date
12/06/2006
Last updated
07/08/2007
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