Individual
CORRINNE P TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 11TH ST FL 3, NIAGARA FALLS, NY 14301-1201
(716) 278-1900
(716) 278-1936
Mailing address
1001 11TH ST FL 3, NIAGARA FALLS, NY 14301-1201
(716) 278-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
524191
NY
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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