Provider Demographics
NPI:1235329046
Name:TROKEL, YAN (MD, DDS)
Entity Type:Individual
Prefix:
First Name:YAN
Middle Name:
Last Name:TROKEL
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6114
Mailing Address - Country:US
Mailing Address - Phone:212-861-7787
Mailing Address - Fax:212-861-7734
Practice Address - Street 1:61 E 66TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6114
Practice Address - Country:US
Practice Address - Phone:212-861-7787
Practice Address - Fax:212-861-7734
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233728204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery