Individual
REBECCA TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
518 HENRY ST, BROOKLYN, NY 11231-5243
(718) 855-4850
Mailing address
1122 47TH AVE APT 2L, LONG ISLAND CITY, NY 11101-5460
(718) 706-0908
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003764
NY
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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