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Individual
DR. TRACEY LYNN BRENNAN
Active
Individual
DR. TRACEY LYNN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197114
SHARED HEALTH NETWORK
NY
01
—
382088
MVP
NY
01
—
5996122
GHI
NY
Enumeration date
07/07/2005
Last updated
07/13/2026
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