=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093949547
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZAHAVA T TRAEGER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2009
-----------------------------------------------------
Last Update Date | 09/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 676 PELHAM RD DUMONT CENTER FOR REHABILTATION & NURSING
-----------------------------------------------------
City | NEW ROCHELLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10805-1038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-999-6135
-----------------------------------------------------
Fax | 315-612-9793
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 S ROUTE 9W UNIT 41 #114
-----------------------------------------------------
City | WEST HAVERSTRAW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10993
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-999-6135
-----------------------------------------------------
Fax | 315-612-9793
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number | 264755
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------