Individual
MR. ROBERT TRAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
164B LONG BEACH RD, ISLAND PARK, NY 11558-1512
(516) 608-1885
Mailing address
1141 CORNWELL AVE, BALDWIN, NY 11510-4732
(516) 608-1885
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CP001362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02915415
—
NY
Enumeration date
08/15/2006
Last updated
01/07/2008
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