Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Trie Arni Djunadi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669253340

Mrs. Trie Arni Djunadi, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave Dept OF Medicine Villa Bldg 1ST Fl
Staten Island, NY 10310
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1669253340
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2023
Last updated in NPPESApril 9, 2024

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