Diana Trister D.O

NPI 1609004464 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1609004464
Gender Female
Enumeration Date 06/30/2009
Last Updated 06/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4802 10TH AVE
BROOKLYN NY, 11219-2916, US
Phone (718) 283-6000
Fax
Business Location
601 40TH ST APT C6
BROOKLYN NY, 11232-3174, US
Phone (508) 735-3111
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Diana Trister D.O NPI is 1609004464, taxonomy code is 390200000X Diana Trister D.O physically located at 4802 10th Ave, Brooklyn NY, 11219-2916. NPI Number Diana Trister D.O has the Individual type.

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1609004464 NPI number is provided on an as is basis without warranty of any kind. 1609004464 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Trister D.O are for informational purposes only.