MEDICARE: HOWARD TRACHTMAN 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
1	2080P0210X	Pediatric Nephrology Physician	147664	NY

General Provider Information

NPI Number	:	1942360011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD TRACHTMAN MD

Provider Business Mailing Address
First Line	:	227 E 30TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8203
Country	:	US
Telephone Number	:	646-501-2663
Fax Number	:	212-263-4053

Provider Business Practice Location Address
First Line	:	227 E 30TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8203
Country	:	US
Telephone Number	:	646-501-2663
Fax Number	:	212-263-4053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/18/2013

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Directions to “ HOWARD TRACHTMAN MD” Practice Location

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