Individual
MS. BRIGID ALICE TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
G.N.P.
Contact information
Practice address
3525 BAYCHESTER AVE, BRONX, NY 10466-5001
(718) 798-8900
Mailing address
3525 BAYCHESTER AVE, BRONX, NY 10466-5001
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
3450439
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340439
NY
Other
Enumeration date
05/08/2007
Last updated
06/06/2019
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