Individual
MS. TRACY DEE AMSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1365 WASHINGTON AVE STE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 489-0512
Mailing address
1365 WASHINGTON AVE, ALBANY, NY 12206-1068
(518) 489-4704
(518) 489-0512
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02916705
—
NY
Enumeration date
08/25/2006
Last updated
03/05/2008
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