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Individual

DR. TRACY LAWRENCE-BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1637
(914) 592-7555
(866) 310-5326
Mailing address
53 STONEWALL CIR, WEST HARRISON, NY 10604-1126
(240) 205-0861

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
053808
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
281882
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
33644
DC

Other

Enumeration date
07/22/2005
Last updated
07/21/2022
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