Individual
DR. JEFFREY TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
554 LARKFIELD RD, EAST NORTHPORT, NY 11731-4205
(631) 266-1042
(516) 385-8732
Mailing address
600 WILDWOOD RD, WEST HEMPSTEAD, NY 11552-3410
(631) 266-1042
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223674
—
NY
01
—
02027
GHI MEDICARE
NY
01
—
6200232
GHI
NY
01
—
P51351
EMPIRE BLUE CROSS
NY
Enumeration date
02/14/2007
Last updated
06/01/2016
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