Provider Demographics
NPI:1699128355
Name:TROSIN, CIARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CIARA
Middle Name:
Last Name:TROSIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:WALWORTH
Mailing Address - State:NY
Mailing Address - Zip Code:14568-9430
Mailing Address - Country:US
Mailing Address - Phone:585-507-8637
Mailing Address - Fax:
Practice Address - Street 1:314 GENESEE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3102
Practice Address - Country:US
Practice Address - Phone:315-252-7578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist