Individual
DR. ALLA M TRUBETSKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5046
Mailing address
403 WASHINGTON ST, TAPPAN, NY 10983-2703
(845) 613-7296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227755
NY
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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