Provider Demographics
NPI:1518029990
Name:TRINKOFF, HAROLD E (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:E
Last Name:TRINKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 BROAD STREET
Mailing Address - Street 2:SUITE 28
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450
Mailing Address - Country:US
Mailing Address - Phone:203-237-8115
Mailing Address - Fax:203-634-8102
Practice Address - Street 1:816 BROAD STREET
Practice Address - Street 2:SUITE 28
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450
Practice Address - Country:US
Practice Address - Phone:203-237-8115
Practice Address - Fax:203-634-8102
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT238302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2V7397OtherHEALTHNET
238300OtherCONNECTICARE
0504106OtherUNITED HEALTHCARE
CT1238302Medicaid
01023830OtherCIGNA
010023830CT03OtherANTHEM BCBS
C003697OtherCHAMPUS
0567876OtherAETNA
B38098Medicare UPIN