Individual
TRACY PERMANAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WATER ST APT 401, WHITE PLAINS, NY 10601-1401
(914) 898-5774
Mailing address
11532 132ND ST, SOUTH OZONE PARK, NY 11420-2610
(347) 553-9041
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
791070-01
NY
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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