Individual
COLLEEN TRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
(845) 354-9300
Mailing address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421659
NY
367A00000X
Advanced Practice Midwife
002246
NY
367A00000X
Advanced Practice Midwife
544
CT
Other
Enumeration date
09/08/2022
Last updated
09/28/2023
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