Individual
DR. TRACY K BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
388 HAWKINS AVE STE 2, LAKE RONKONKOMA, NY 11779-4280
(631) 588-7004
(631) 588-2612
Mailing address
388 HAWKINS AVE STE 2, LAKE RONKONKOMA, NY 11779-4280
(631) 588-7004
(631) 588-2612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006148
NY
Other
Enumeration date
03/28/2007
Last updated
03/17/2018
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