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Organization

MICHAEL TRIMBA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TRIMBA MD (PRESIDENT)
(718) 332-2111
Entity
Organization

Contact information

Practice address
14351 ROOSEVELT AVE, G1, FLUSHING, NY 11354-6155
(718) 332-2111
(718) 332-0180
Mailing address
71 5TH AVE, BAY SHORE, NY 11706-7306
(631) 665-2421
(631) 665-3416

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
225644
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
210710
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05968
GHI MEDICARE
NY
Enumeration date
05/05/2006
Last updated
05/02/2008
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