Individual
TRACY ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
624 HAWKINS AVE STE 1, LAKE RONKONKOMA, NY 11779-2375
(631) 588-5100
(631) 588-5185
Mailing address
257 STEWART AVE, BETHPAGE, NY 11714-5315
(516) 776-7618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008475
NY
Other
Enumeration date
06/28/2016
Last updated
07/21/2022
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