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
Fax: (516) 385-8732
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
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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