Individual
ASHLEY TRACEY KYDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5072
Mailing address
55 BAYNE ST, NORWALK, CT 06851-1218
(203) 858-8876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
293965
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2013
Last updated
08/22/2022
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