Individual
MS. TRACY HERMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2850 N JERUSALEM RD, WANTAGH, NY 11793-1125
(516) 396-2931
Mailing address
36 PORTERFIELD PL, FREEPORT, NY 11520-3341
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007611-1
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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