Individual
MRS. TRACEY LYNN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7838
Mailing address
462 1ST AVENUE, NEW YORK, NY 10016-9196
(212) 562-7838
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381536
NY
Other
Enumeration date
10/24/2008
Last updated
01/08/2009
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