Healthcare Provider Details

I. General information

NPI: 1174641625
Provider Name (Legal Business Name): LOUIS JOSEPH TRANESE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9907 3RD AVE APT 4B
BROOKLYN NY
11209-7946
US

IV. Provider business mailing address

9907 3RD AVE APT 4B
BROOKLYN NY
11209-7946
US

V. Phone/Fax

Practice location:
  • Phone: 917-589-4482
  • Fax: 212-656-1336
Mailing address:
  • Phone: 918-589-4482
  • Fax: 212-656-1336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number231468
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number231468
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: