Provider Demographics
NPI:1689709420
Name:TROMP, HENDRIKJE (MD)
Entity Type:Individual
Prefix:DR
First Name:HENDRIKJE
Middle Name:
Last Name:TROMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SOUTH BEDFORD ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-242-0808
Mailing Address - Fax:914-242-0166
Practice Address - Street 1:103 SOUTH BEDFORD ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:MT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-242-0808
Practice Address - Fax:914-242-0166
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178761208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY178761OtherLICENSE #