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Individual

TRENT TAMATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
130 E 77TH ST FL 11, NEW YORK, NY 10075-1851
(212) 434-2710
Mailing address
130 E 77TH ST FL 11, NEW YORK, NY 10075-1851

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036172561
IL
390200000X
Student in an Organized Health Care Education/Training Program
MDR-7527

Other

Enumeration date
04/03/2018
Last updated
11/01/2024
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