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Organization

HERITAGE PSYCHIATRY SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A TRACHTENBERG M.D. (PRESIDENT)
(917) 359-1096
Entity
Organization

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
2084P0805X
Geriatric Psychiatry Physician
Primary
196342
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03162645
NY
Enumeration date
10/22/2009
Last updated
10/23/2012
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