Doctor Name: | DR. SAM TRAISAK |
NPI Number: | 1760506836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16335801 |
Business Practice Address: | 1 Main St Roosevelt Island, NY - 100440052 |
Business Phone Number: | 2123184242 |
Business Fax Number: | |
Mailing Address: | 1 Main St, ROOSEVELT ISLAND |
State: | NY |
Postal Code: | 100440052 |
Phone Number: | 2123184242 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 16335801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |