Tracey Marie Southard

  • NPI 1215298260
According to our database, the NPI number for Tracey Marie Southard is 1215298260 and activated since 11 years ago. Tracey Marie Southard is an individual provider who specializes in Specialist, and the primary practice location is 1 Scouting Blvd, Medford, NY 11763. You can also contact Tracey Marie Southard via telephone number is (631) 745-0317. Provider NPI information was last updated on 06/06/2012.

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Overview of Tracey Marie Southard

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/06/2012
  • Last updated: 06/06/2012

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 764610
  • License State: NY

Provider Mailing Address

  • Address: 132 La Bonne Vie Dr W Apt J
    East Patchogue, NY 11772
  • Phone: 631-745-0317
  • Fax:

Provider Practice Location

  • Address: 1 Scouting Blvd
    Medford, NY 11763
  • Phone: 631-745-0317
  • Fax:

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 764610
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tracey Marie Southard?
  • A: The npi number for Tracey Marie Southard is 1215298260.
  • Q: What are Tracey Marie Southard's specialties?
  • A: Tracey Marie Southard's specialties are Specialist and different specialities.
  • Q: What is the medical license for Tracey Marie Southard?
  • A: The medical license number for Tracey Marie Southard is 764610 and issued in NY in USA.
  • Q: Where is Tracey Marie Southard practice location?
  • A: Tracey Marie Southard is practicing at 1 Scouting Blvd, Medford, NY 11763.
  • Q: How to contact Tracey Marie Southard?
  • A: You can contact Tracey Marie Southard via 631-745-0317.