Individual
DR. DIANE TRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 E 137TH ST, BRONX, NY 10454-3142
(718) 401-6578
(718) 228-7471
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 228-7471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152741
NY
Other
Enumeration date
04/13/2006
Last updated
03/07/2023
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