Healthcare Provider Details

I. General information

NPI: 1033327796
Provider Name (Legal Business Name): TRAUBE MARUSH & PLAWES M D P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 COLEMAN ST STE 105
BROOKLYN NY
11234-5126
US

IV. Provider business mailing address

2275 COLEMAN ST STE 105
BROOKLYN NY
11234-5126
US

V. Phone/Fax

Practice location:
  • Phone: 718-692-2700
  • Fax: 347-274-0676
Mailing address:
  • Phone: 718-252-0570
  • Fax: 347-274-0676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA BROWN
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 718-692-2700