Individual
MS. TRACEY BRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/TSHH, MSED
Contact information
Practice address
99 LEXINGTON RD, SHIRLEY, NY 11967-2821
(631) 281-6800
Mailing address
109 VALLEY DR, SOUND BEACH, NY 11789-1738
(631) 255-2141
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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