Basic Information
Provider Information
NPI: 1740664085
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRIVIERI
FirstName: MARIA GIOVANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 1 GUSTAVE L LEVY PL # 3000
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296504
CountryCode: US
TelephoneNumber: 2129873100
FaxNumber: 2127315210
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296504
CountryCode: US
TelephoneNumber: 2124271540
FaxNumber: 2124107196
Other Information
ProviderEnumerationDate: 07/16/2015
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
281P00000X273905NYN HospitalsChronic Disease Hospital 
207RC0000X273905NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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