Individual
TRACEY MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 ROUTE 376 STE 201-204, WAPPINGERS FALLS, NY 12590-6483
(845) 765-2366
Mailing address
942 ROUTE 376 STE 201-204, WAPPINGERS FALLS, NY 12590-6483
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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