Provider Demographics
NPI:1457557514
Name:TROUNINA, SVETLANA (MD,)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:TROUNINA
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 1:241 PARRISH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1784
Mailing Address - Country:US
Mailing Address - Phone:347-387-5149
Mailing Address - Fax:
Practice Address - Street 1:241 PARRISH ST
Practice Address - Street 2:SUITE B
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1784
Practice Address - Country:US
Practice Address - Phone:585-394-1300
Practice Address - Fax:585-394-1305
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241242208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02924936Medicaid