Provider Demographics
NPI:1962764001
Name:TROTMAN, PATRICIA (MSED)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:TROTMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:TROTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSED
Mailing Address - Street 1:30 W 141ST ST
Mailing Address - Street 2:10N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1301
Mailing Address - Country:US
Mailing Address - Phone:347-628-7741
Mailing Address - Fax:
Practice Address - Street 1:30 W 141ST ST
Practice Address - Street 2:10N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1301
Practice Address - Country:US
Practice Address - Phone:347-628-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY439862041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist