Individual
TRACEY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N BROADWAY STE 1, IRVINGTON, NY 10533-1246
(914) 813-3607
Mailing address
100 N BROADWAY STE 1, IRVINGTON, NY 10533-1246
(914) 813-3607
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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