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NPI Code Detail

MEDICARE: MRS. JACQUELINE ANNE TROTMAN

MEDICARE:  MRS. JACQUELINE ANNE TROTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse230214-1NY

General Provider Information

NPI Number : 1316190424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACQUELINE ANNE TROTMAN
Provider Business Mailing Address
First Line : 1120 BERGEN AVE
Second Line : UNIT #89
City : BROOKLYN
State : NY
Zip : 11234-5419
Country : US
Telephone Number : 718-444-3349
Fax Number :
Provider Business Practice Location Address
First Line : 1120 BERGEN AVE
Second Line : UNIT#89
City : BROOKLYN
State : NY
Zip : 11234-5419
Country : US
Telephone Number : 718-444-3349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2008
Last Update Date : 11/03/2008

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Directions to “ MRS. JACQUELINE ANNE TROTMAN ” Practice Location

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