Individual
MS. TRACEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
123 WASHINGTON ST, NEW YORK, NY 10006-1518
(917) 538-2080
Mailing address
123 WASHINGTON ST, NEW YORK, NY 10006-1518
(917) 538-2080
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005353
NY
171100000X
Acupuncturist
DA00431
RI
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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