Organization
GARY TRACY, OD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TRACY (MANAGER)
(201) 247-5893
Entity
Organization
Contact information
Practice address
210 W 79TH ST, NEW YORK, NY 10024-6228
(212) 877-5840
(212) 877-5841
Mailing address
210 W 79TH ST, NEW YORK, NY 10024-6228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003044-1
NY
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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