Bennardo, Tracey

Bennardo, Tracey is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennardo, Tracey can be contacted via phone (631) 376-3000.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone: (631) 376-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 336543 New York

Profile Details

NPI number 1194063594
LBN Legal business name Bennardo, Tracey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Jan 21st, 2013 - about 11 years ago

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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