Healthcare Provider Details

I. General information

NPI: 1831001247
Provider Name (Legal Business Name): SHAYNA PRESSLEY-TROCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAYNA RODRIGUEZ

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 BRUCKNER BLVD
BRONX NY
10461-4673
US

IV. Provider business mailing address

3103 WEBSTER AVE APT 6C
BRONX NY
10467-5291
US

V. Phone/Fax

Practice location:
  • Phone: 212-904-0773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: