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NPI Code Detail

MEDICARE: SALVATORE TRAZZERA MD

MEDICARE: SALVATORE TRAZZERA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician187894NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568469757
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVATORE TRAZZERA MD
Provider Business Mailing Address
First Line : 206 FALLWOOD PKWY
Second Line :
City : FARMINGDALE
State : NY
Zip : 11735-4929
Country : US
Telephone Number : 516-249-1020
Fax Number : 516-249-1305
Provider Business Practice Location Address
First Line : 1231 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3104
Country : US
Telephone Number : 631-667-0388
Fax Number : 631-968-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/27/2025

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Directions to “ SALVATORE TRAZZERA MD” Practice Location

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