Individual
MICHAL J TRACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CROSFIELD AVE, SUITE 312, WEST NYACK, NY 10994-2220
(845) 358-2400
Mailing address
2 CROSFIELD AVE, SUITE 312, WEST NYACK, NY 10994-2226
(845) 358-2400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
252359-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03266002
—
NY
Enumeration date
02/15/2006
Last updated
07/04/2013
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