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Individual

MRS. MARY TRACY BERRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
525 E 68TH ST, 6 WEST NICU, NEW YORK, NY 10021-4870
(212) 746-0318
(212) 746-0358
Mailing address
12 GAIL DR, NEW CITY, NY 10956-3606
(845) 639-1981

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350060
NY

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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