Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 212833 | NY |
NPI | 1164584553 |
---|---|
Provider Name | Dr. Michael Francis Trepeta |
First Address | Hewlett, NY 11557-0360 |
Second Address | Syosset, NY 11791-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 13/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02236859 | (05) | NY |
H33016 | (02) | NY |