Provider Demographics
NPI:1326309378
Name:TRAPASSO, KIT (MS)
Entity Type:Individual
Prefix:MR
First Name:KIT
Middle Name:
Last Name:TRAPASSO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-1734
Mailing Address - Country:US
Mailing Address - Phone:585-356-8043
Mailing Address - Fax:
Practice Address - Street 1:1117 WEST AVE
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-1734
Practice Address - Country:US
Practice Address - Phone:585-356-8043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool