Individual
TRISHA MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26343 74TH AVE, GLEN OAKS, NY 11004-1140
(347) 325-2560
Mailing address
26343 74TH AVE, GLEN OAKS, NY 11004-1140
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404301
NY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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