Individual
TRACY PUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 226-9000
Mailing address
166 COLES STREET, JERSEY CITY, NJ 07302
(201) 216-0075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004968
NY
Other
Enumeration date
05/02/2007
Last updated
10/08/2008
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