Basic Information
| Provider Information | |||||||||
| NPI: | 1871753376 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TROTMAN | ||||||||
| FirstName: | GYLYNTHIA | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 SAW MILL RIVER RD STE LL-4 | ||||||||
| Address2: | |||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143045254 | ||||||||
| FaxNumber: | 5135942314 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 SAW MILL RIVER RD STE LL-4 | ||||||||
| Address2: | |||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143045254 | ||||||||
| FaxNumber: | 9145942314 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2008 | ||||||||
| LastUpdateDate: | 04/24/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD040360 | DC | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 35.123465 | OH | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 260980 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.