Provider Demographics
NPI:1821135724
Name:TRIOLA, DUSHANA YOGANATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DUSHANA
Middle Name:YOGANATHAN
Last Name:TRIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DUSHANA
Other - Middle Name:
Other - Last Name:YOGANATHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:939 UNION ST
Mailing Address - Street 2:7A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1686
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:939 UNION ST
Practice Address - Street 2:7A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1686
Practice Address - Country:US
Practice Address - Phone:718-636-1573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2158822083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine