Individual
TRACY TOMPKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 876-1732
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0268441
NY
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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