Individual
TRACEY CONTRERAS ISIDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE STE 199, NEW YORK, NY 10032-3722
(212) 305-3535
(212) 342-1470
Mailing address
215 E 66TH ST APT 3B, NEW YORK, NY 10065-6437
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
310246
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
310246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667384
PIT ID NUMBER
TX
Enumeration date
06/14/2017
Last updated
02/14/2025
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