Organization
TALKING WITH TRACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY MELANIE GIBSON MS. ED (SPECIAL EDUCATION TEACHER)
(646) 807-6403
Entity
Organization
Contact information
Practice address
454 NOSTRAND AVE, BROOKLYN, NY 11216-1717
(646) 807-6403
Mailing address
454 NOSTRAND AVE, BROOKLYN, NY 11216-1717
(646) 807-6403
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1132031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174400000X
—
NY
Enumeration date
11/27/2016
Last updated
11/27/2016
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