Individual
MOLLY KATE TREVAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
243 5TH AVE FL 3, NEW YORK, NY 10016-8703
(332) 249-7435
(855) 646-9321
Mailing address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430853
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402736
NY
Other
Enumeration date
09/18/2014
Last updated
11/06/2023
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