Individual
ANA TRIANA-JACOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8347 116TH ST APT 1A, RICHMOND HILL, NY 11418-3467
(347) 785-5811
Mailing address
8347 116TH ST APT 1A, RICHMOND HILL, NY 11418-3467
(347) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742260039-00
—
NY
Enumeration date
05/15/2019
Last updated
05/15/2019
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