Individual
TRACY MARIE DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
4184 SENECA ST, SUITE 211, WEST SENECA, NY 14224-3051
(716) 677-2027
(716) 677-2027
Mailing address
4184 SENECA ST, SUITE 211, WEST SENECA, NY 14224-3051
(716) 677-2027
(716) 677-2027
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
007843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069789
GHI
NY
01
—
00010234801
EXCELLUS/UNIVERA
NY
01
—
006061255
BC/BS OF WNY
NY
01
—
112504100
FEDERAL WCB
NY
01
—
9351841
INDEPENDENT HEALTH
NY
Enumeration date
07/31/2006
Last updated
09/11/2008
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