Provider Demographics
NPI:1306588447
Name:TRABADO, PHILIPPE GERARD TOLEDO (NP)
Entity type:Individual
Prefix:
First Name:PHILIPPE GERARD
Middle Name:TOLEDO
Last Name:TRABADO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:PHILIPPE
Other - Middle Name:
Other - Last Name:TRABADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, AGNP-BC
Mailing Address - Street 1:214 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-4846
Mailing Address - Country:US
Mailing Address - Phone:347-514-0023
Mailing Address - Fax:
Practice Address - Street 1:214 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-4846
Practice Address - Country:US
Practice Address - Phone:212-337-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310551363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health