Individual
MELISSA L. TRAZZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
470 WOODBURY RD, COLD SPRING HARBOR, NY 11724-2234
(631) 367-2013
Mailing address
470 WOODBURY RD, COLD SPRING HARBOR, NY 11724-2234
(631) 367-2013
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
212705-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946616
—
NY
Enumeration date
08/08/2006
Last updated
06/02/2008
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