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NPI Code Detail

MEDICARE: DR. CRISTINA ANDREEA TRUTIA M.D.

MEDICARE:  DR. CRISTINA ANDREEA TRUTIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician231376NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710995527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRISTINA ANDREEA TRUTIA M.D.
Provider Business Mailing Address
First Line : 22 US OVAL
Second Line : SUITE 207
City : PLATTSBURGH
State : NY
Zip : 12903-5900
Country : US
Telephone Number : 518-324-4803
Fax Number : 518-324-4803
Provider Business Practice Location Address
First Line : 22 US OVAL
Second Line : SUITE 207
City : PLATTSBURGH
State : NY
Zip : 12903-5900
Country : US
Telephone Number : 518-324-4802
Fax Number : 518-324-4817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 04/19/2012

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