Individual
MS. TRACEY CECELE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1663 EAST 17 ST., BROOKLYN, NY 11229
(718) 339-9700
Mailing address
8625 VAN WYCK EXPY APT L12, BRIARWOOD, NY 11435-2922
(718) 206-9794
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
505796-1
NY
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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