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Individual
TRACEY B. EMANUEL
Active
Individual
TRACEY B. EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334597-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02794916
—
NY
01
—
W73781
MEDICARE GROUP
NY
Enumeration date
07/12/2006
Last updated
07/23/2008
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