1568804631 NPI number — MISS BRITTANY LORRAINE TRONOLONE

Table of content: MISS BRITTANY LORRAINE TRONOLONE (NPI 1568804631)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568804631 NPI number — MISS BRITTANY LORRAINE TRONOLONE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRONOLONE
Provider First Name:
BRITTANY
Provider Middle Name:
LORRAINE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568804631
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 LAFAYETTE ST
Provider Second Line Business Mailing Address:
3RD FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10012-4067
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-570-1693
Provider Business Mailing Address Fax Number:
212-431-1731

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 LAFAYETTE ST
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10012-4067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-570-1693
Provider Business Practice Location Address Fax Number:
212-431-1731
Provider Enumeration Date:
07/18/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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