Ackerman, Tracie A

Ackerman, Tracie A is an sole proprietor health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ackerman, Tracie A can be contacted via phone (631) 968-3171.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 968-3171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304378 New York

Profile Details

NPI number 1154417848
LBN Legal business name Ackerman, Tracie A
Credentials ANP-C, AGACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Oct 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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