Individual
TRACY L. CANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LCAT
Contact information
Practice address
3A KNOLL TOP RD, STONY BROOK, NY 11790-1403
(516) 695-3550
Mailing address
PO BOX 778, SAINT JAMES, NY 11780-0778
(516) 695-3550
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000277
NY
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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