Provider Demographics
NPI:1134450455
Name:TRAPANI, THERESA ANN
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:ANN
Last Name:TRAPANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 W 57TH ST STE 704
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3411
Mailing Address - Country:US
Mailing Address - Phone:212-223-1921
Mailing Address - Fax:
Practice Address - Street 1:37 W 57TH ST STE 704
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3411
Practice Address - Country:US
Practice Address - Phone:212-223-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-065559-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical