Individual
TRISHALA DUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 LEXINGTON AVE, NEW YORK, NY 10168-0002
(646) 553-6346
Mailing address
6465 212TH ST, BAYSIDE, NY 11364-2124
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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