Provider Demographics
NPI:1154780112
Name:TROY, CLEOTILDE ALOBA (RN)
Entity type:Individual
Prefix:
First Name:CLEOTILDE
Middle Name:ALOBA
Last Name:TROY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W END AVE APT 10E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4318
Mailing Address - Country:US
Mailing Address - Phone:347-319-1836
Mailing Address - Fax:212-769-8341
Practice Address - Street 1:500 W END AVE APT 10E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4318
Practice Address - Country:US
Practice Address - Phone:347-319-1836
Practice Address - Fax:212-769-8341
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY601518163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse