Dimarco, Tracie L
Dimarco, Tracie L is an individual health care provider with primary practice located at 4068 Albany Post Rd , Hyde Park NY 12538-3900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dimarco, Tracie L can be contacted via phone (845) 229-2123.Contact Information
Primary practice address
4068 Albany Post Rd
Hyde Park NY 12538-3900
Phone: (845) 229-2123
Fax: (845) 229-6313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 220557 | New York |
Profile Details
| NPI number | 1558354274 |
|---|---|
| LBN Legal business name | Dimarco, Tracie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Sep 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558354274 | NPPES |
| New York | MEDICAID | 02164941 |
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