Provider Demographics
NPI:1053776609
Name:TROLIO, GINA (MA)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:TROLIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:ASCATIGNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:339 NORTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:UPPER NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960
Mailing Address - Country:US
Mailing Address - Phone:845-358-7772
Mailing Address - Fax:
Practice Address - Street 1:339 NORTH BROADWAY
Practice Address - Street 2:
Practice Address - City:UPPER NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:845-358-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool