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Individual

TRACY MCTIERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
519 TOMPKINS AVE, STATEN ISLAND, NY 10305-1739
(646) 400-2571
(646) 400-2571
Mailing address
220 HEBERTON AVE, STATEN ISLAND, NY 10302-1415
(646) 400-2571

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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