Provider Demographics
NPI:1972033611
Name:CAYENNE, TREVOR JAMAL (RRT)
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:JAMAL
Last Name:CAYENNE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:423 EAST 23RD STRRET
Mailing Address - Street 2:RESPIRATORY CARE SERVICES ROOM 13090S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-686-7500
Mailing Address - Fax:212-951-6882
Practice Address - Street 1:423 EAST 23RD STRRET
Practice Address - Street 2:RESPIRATORY CARE SERVICES ROOM 13090S
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:212-951-6882
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0097822279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care