Tracey L Root RN

NPI 1245536531 - Registered Nurse - 163W00000X

NPI Details
NPI 1245536531
Gender Female
Enumeration Date 02/03/2011
Last Updated 02/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
446 RIVER RD
SHIRLEY NY, 11967-1515, US
Phone (631) 772-7044
Fax
Business Location
446 RIVER RD
SHIRLEY NY, 11967-1515, US
Phone (631) 772-7044
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 634240
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According to our database, Ms. Tracey L Root RN NPI is 1245536531, taxonomy code is 163W00000X and license number is 634240, license state is located at New York. Tracey L Root RN physically located at 446 River Rd, Shirley NY, 11967-1515. NPI Number Tracey L Root RN has the Individual type.

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1245536531 NPI number is provided on an as is basis without warranty of any kind. 1245536531 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey L Root RN are for informational purposes only.