Organization
TRACY M DOYLE, PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M DOYLE PT, CHT (OWNER)
(716) 677-2027
Entity
Organization
Contact information
Practice address
4184 SENECA ST, SUITE 211, WEST SENECA, NY 14224-3051
(716) 677-2027
(716) 677-2027
Mailing address
4184 SENECA ST, SUITE 211, WEST SENECA, NY 14224-3051
(716) 677-2027
(716) 677-2027
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
007843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069789
GHI
NY
01
—
00010234801
EXCELLUS
NY
01
—
9351841
INDEPENDENT HEALTH
NY
Enumeration date
01/25/2008
Last updated
03/13/2008
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