Individual
DIANE H TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E 20TH ST STE 5F, NEW YORK, NY 10003-1310
(908) 240-9536
Mailing address
120 SHERMAN AVE APT 3A, JERSEY CITY, NJ 07307-2135
(908) 240-9536
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001182-01
NY
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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