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Individual

DR. GARY TRACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
351 AMSTERDAM AVE, NEW YORK, NY 10024-6918
(212) 877-5840
(212) 877-5841
Mailing address
210 W 79TH ST, NEW YORK, NY 10024-6228
(212) 877-5840
(212) 877-5841

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3044T
NY

Other

Enumeration date
01/23/2006
Last updated
03/10/2014
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