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1366941288
PETER TRIVISONNO
BRONX, NY
NPI
1366941288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075954)
Enumeration Date
2018-02-06
Last Update Date
2018-04-02
Business Address
PETER TRIVISONNO
1990 WESTCHESTER AVE
BRONX, NY 10462-4553
Phone number: 718-828-0300
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Mailing Address
PETER TRIVISONNO
29 W 64TH ST APT 4B
NEW YORK, NY 10023-6727
Phone number: 617-834-9348
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