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Individual

TRACEY L HAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
25 LAKEHILL RD, BALLSTON LAKE, NY 12019-2429
(518) 399-9141
(518) 399-0343
Mailing address
25 LAKEHILL RD, BALLSTON LAKE, NY 12019-2429
(518) 399-9141
(518) 399-0343

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
360067-1
NY

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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