Provider Demographics
NPI:1386782704
Name:TROMBA, ANNMARIE (DO)
Entity type:Individual
Prefix:DR
First Name:ANNMARIE
Middle Name:
Last Name:TROMBA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:SIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:998 CROOKED HILL ROAD, BUILDING 56
Mailing Address - Street 2:PILGRIM STATE PSYCHIATRIC CENTER
Mailing Address - City:WEST BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717
Mailing Address - Country:US
Mailing Address - Phone:631-701-2574
Mailing Address - Fax:631-761-2282
Practice Address - Street 1:998 CROOKED HILL ROAD, BUILDING 56
Practice Address - Street 2:PILGRIM STATE PSYCHIATRIC CENTER
Practice Address - City:WEST BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717
Practice Address - Country:US
Practice Address - Phone:631-701-2574
Practice Address - Fax:631-761-2282
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2298242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS9176909OtherDEA