Individual ProviderJohn Peter TraversoneStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address43 New Scotland Avenue, Dept. Of Orthopedics, Albany, NY 12208(518) 453-3079PECOS EnrollmentBased on the most recent information from CMS, provider John Peter Traversone does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285384917Provider TypeIndividualFull NameTraversone, John PeterTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/25/2022Last Updated3/25/2022Contact InformationPractice LocationPractice Address43 New Scotland Avenue, Dept. Of Orthopedics, Albany, NY 12208Phone(518) 453-3079FaxUnlisted FaxMailing LocationMailing Address43 New Scotland Avenue, Dept. Of Orthopedics, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64680New York