Individual
SHARON LYNN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
460 9TH ST, BROOKLYN, NY 11215-4127
(718) 832-7990
(718) 832-7990
Mailing address
358 7TH AVE, BROOKLYN, NY 11215-4315
(718) 832-7990
(718) 832-7990
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
008169-1
NY
2251S0007X
Sports Physical Therapist
Primary
0081691-1
NY
2251X0800X
Orthopedic Physical Therapist
008169-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QL1361
EMPIRE BCBS
NY
Enumeration date
04/25/2007
Last updated
09/11/2025
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