Healthcare Provider Details

I. General information

NPI: 1043380603
Provider Name (Legal Business Name): UTE TRAUGOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BUSINESS PARK DR
ARMONK NY
10504-1720
US

IV. Provider business mailing address

41 E POST RD
WHITE PLAINS NY
10601-4699
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-1149
  • Fax: 914-681-2884
Mailing address:
  • Phone: 914-681-1210
  • Fax: 914-681-2839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number176039
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: