Doctor Name: | RENEE TRAUBE |
NPI Number: | 1154309854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 400891 |
Business Practice Address: | 14 Underwood Rd Monsey, NY - 109521816 |
Business Phone Number: | 9146598627 |
Business Fax Number: | |
Mailing Address: | 14 Underwood Rd, MONSEY |
State: | NY |
Postal Code: | 109521816 |
Phone Number: | 9146598627 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2006 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 400891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |