Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 100686 | NY |
NPI | 1003332610 |
---|---|
Provider Name | Meredith Trainor |
First Address | Bronx, NY 10457-7239 |
Second Address | Bronx, NY 10459-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 15/08/2017 |