Traut, Robert

Traut, Robert is an sole proprietor health care provider with primary practice located at 164B Long Beach Rd , Island Park NY 11558-1512. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Traut, Robert can be contacted via phone (516) 608-1885.

Contact Information

Primary practice address
164B Long Beach Rd Island Park NY 11558-1512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CP001362 New York

Profile Details

NPI number 1023021383
LBN Legal business name Traut, Robert
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jan 7th, 2008 - about 16 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 1023021383 NPPES
New York MEDICAID 02915415

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