Doctor Name: | MELISSA L. TRAZZERA |
NPI Number: | 1861402273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 212705-1 |
Business Practice Address: | 470 Woodbury Rd Cold Spring Harbor, NY - 117242234 |
Business Phone Number: | 6313672013 |
Business Fax Number: | |
Mailing Address: | 470 Woodbury Rd, COLD SPRING HARBOR |
State: | NY |
Postal Code: | 117242234 |
Phone Number: | 6313672013 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 212705-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |