Doctor Name: | LILIANA ALESSANDRI TRIVELLI |
NPI Number: | 1831321918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 113851 |
Business Practice Address: | 11714 Union Tpke Apt Fe1 Kew Gardens, NY - 114151045 |
Business Phone Number: | 0176708948 |
Business Fax Number: | |
Mailing Address: | 11714 Union Tpke, Apt Fe1 KEW GARDENS |
State: | NY |
Postal Code: | 114151045 |
Phone Number: | 0176708948 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 08/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 113851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |