Traub, Jeffrey
Traub, Jeffrey is an sole proprietor health care provider with primary practice located at 554 Larkfield Rd , East Northport NY 11731-4205. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Traub, Jeffrey can be contacted via phone (631) 266-1042.Contact Information
Primary practice address
554 Larkfield Rd
East Northport NY 11731-4205
Phone: (631) 266-1042
Fax: (516) 385-8732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004729 | New York |
Profile Details
| NPI number | 1356484026 |
|---|---|
| LBN Legal business name | Traub, Jeffrey |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jun 1st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356484026 | NPPES |
| New York | MEDICAID | 01223674 | |
| New York | Other | 6200232 | |
| New York | Other | P51351 | |
| New York | Other | 02027 |
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