Gary Tracy, Od P.c.

NPI 1003237306 - Optometrist - 152W00000X

NPI Details
NPI 1003237306
Enumeration Date 01/04/2014
Last Updated 01/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JULIE JULIE
Position MANAGER
Phone (212) 877-5840
Fax (212) 877-5841
Practice Location
210 W 79TH ST
NEW YORK NY, 10024-6228, US
Phone (212) 877-5840
Fax (212) 877-5841
Business Location
210 W 79TH ST
NEW YORK NY, 10024-6228, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV003044-1
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According to our database, Gary Tracy, Od P.c. NPI is 1003237306, taxonomy code is 152W00000X and license number is TUV003044-1, license state is located at New York. Gary Tracy, Od P.c. physically located at 210 W 79th St, New York NY, 10024-6228. NPI Number 1033115704 has the healthcare provider type.

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1003237306 NPI number is provided on an as is basis without warranty of any kind. 1003237306 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Tracy, Od P.c. are for informational purposes only.