Individual
CAITLIN M TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 NETHERLAND AVE APT 2123, BRONX, NY 10463-4825
(914) 715-4505
Mailing address
2600 NETHERLAND AVE APT 2123, BRONX, NY 10463-4825
(914) 715-4505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
637106-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431166
NY
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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