Individual
TRACY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
431062
NY
363LA2100X
Acute Care Nurse Practitioner
11906
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
431062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04888560
—
NY
Enumeration date
08/16/2016
Last updated
08/28/2023
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