Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 147664 | NY |
NPI | 1942360011 |
---|---|
Provider Name | Howard Trachtman |
First Address | New York, NY 10016-8203 |
Second Address | New York, NY 10016-8203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 18/06/2013 |