Individual
MRS. TRACY ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1304 BUCKLEY RD, NORTH SYRACUSE, NY 13212-4311
(315) 478-3311
(315) 476-5211
Mailing address
1304 BUCKLEY RD, NORTH SYRACUSE, NY 13212-4311
(315) 478-3311
(315) 476-5211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366576
—
NY
Enumeration date
09/02/2006
Last updated
01/26/2015
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