SearchNew York225100000X

Travis Vaughan

NPI 1316879901 · on the registry since 2026 · sole proprietor

Practice

Address
679 Whiskey Rd
Ridge, NY 11961
Phone
(631) 821-8090
Organisation at this address
Leo F Katz
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York