Trivlis, Maryann Z

Trivlis, Maryann Z is an sole proprietor health care provider with primary practice located at 131 Beach 138Th St , Belle Harbor NY 11694-1337. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Trivlis, Maryann Z can be contacted via phone (718) 945-0770.

Contact Information

Primary practice address
131 Beach 138Th St Belle Harbor NY 11694-1337
Phone: (718) 945-0770
Fax: (718) 945-7938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003929-1 New York

Profile Details

NPI number 1063411288
LBN Legal business name Trivlis, Maryann Z
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Nov 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063411288 NPPES
New York MEDICAID 00909839

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