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Individual

AUDREY ERAZO-TRIVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(914) 522-5602
Mailing address
115 E STEVENS AVE STE LL5, VALHALLA, NY 10595-1286
(914) 522-5602

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
73935
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73935
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
06/17/2020
Last updated
06/17/2020
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