Provider Demographics
NPI:1881943322
Name:NEW YORK METRO MEDICAL SERVICES, PLLC
Entity type:Organization
Organization Name:NEW YORK METRO MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-999-6135
Mailing Address - Street 1:45 S ROUTE 9W UNIT 41 #114
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993
Mailing Address - Country:US
Mailing Address - Phone:914-999-6135
Mailing Address - Fax:315-612-9793
Practice Address - Street 1:676 PELHAM RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1038
Practice Address - Country:US
Practice Address - Phone:914-999-6135
Practice Address - Fax:315-612-9793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264755208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty