MEDICARE: KEVIN M TROY MD PC

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
1	207RH0000X	Hematology (Internal Medicine) Physician

General Provider Information

NPI Number	:	1700084100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEVIN M TROY MD PC

Provider Business Mailing Address
First Line	:	1735 YORK AVE
Second Line	:	SUITE P2
City	:	NEW YORK
State	:	NY
Zip	:	10128-6855
Country	:	US
Telephone Number	:	212-860-9055
Fax Number	:	212-348-0018

Provider Business Practice Location Address
First Line	:	1735 YORK AVE
Second Line	:	SUITE P2
City	:	NEW YORK
State	:	NY
Zip	:	10128-6855
Country	:	US
Telephone Number	:	212-860-9055
Fax Number	:	212-348-0018

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEVIN M TROY
Credential	:	MD
Telephone Number	:	212-860-9055

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	10/22/2009

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