Individual
DAVID A TRACHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 INDEPENDENCE DR, MANHASSET HILLS, NY 11040-1023
(917) 359-1096
(516) 869-0560
Mailing address
8 INDEPENDENCE DR, MANHASSET HILLS, NY 11040-1023
(917) 359-1096
(516) 869-0560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
196342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02912081
—
NY
01
—
P00797428
RAILROAD MEDICARE
NY
01
—
P4128356
OXFORD
NY
Enumeration date
08/08/2006
Last updated
10/23/2012
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