Individual
TRACIE DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(626) 636-6544
Mailing address
9549 GIDLEY ST, TEMPLE CITY, CA 91780-4214
(626) 636-6544
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
336443
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
06/07/2025
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