| Bradley Scott Trivax, MD | |
|
500 Commack Rd Unit 204, Commack, NY 11725-5022 | |
| (631) 638-4600 | |
| (631) 638-4601 |
| Full Name | Bradley Scott Trivax |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 500 Commack Rd Unit 204, Commack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558486050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 236257 (New York) | Primary |
| 207V00000X | Obstetrics & Gynecology | A92047 (California) | Secondary |
| Entity Name | University Associates In Obstetrics & Gynecology University Faculty P |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538114723 PECOS PAC ID: 9032001045 Enrollment ID: O20040325001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Scott Trivax, MD 500 Commack Rd Unit 204, Commack, NY 11725-5022 Ph: (631) 638-4600 | Bradley Scott Trivax, MD 500 Commack Rd Unit 204, Commack, NY 11725-5022 Ph: (631) 638-4600 |
Dr. Chantae Sullivan-pyke, MD, MTR Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 500 Commack Rd Unit 202, Commack, NY 11725 Phone: 631-638-4600 Fax: 631-520-2561 | |
Lauren Zakarin Safier, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Commack Rd Unit 202, Commack, NY 11725 Phone: 631-638-4600 | |
Avner Hershlag, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 500 Commack Rd Unit 202, Commack, NY 11725 Phone: 516-562-2229 |