Individual
TRACY DIANE LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
2 BIRCH ST, HAMPTON BAYS, NY 11946-2315
(631) 682-9090
Mailing address
2 BIRCH ST, HAMPTON BAYS, NY 11946-2315
(631) 682-9090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721157
NY
225700000X
Massage Therapist
Primary
009245
NY
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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