Dourdounas, Tracy
Dourdounas, Tracy is an individual health care provider with primary practice located at 320 Carleton Ave , Central Islip NY 11722-4506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dourdounas, Tracy can be contacted via phone (631) 234-7807.Contact Information
Primary practice address
320 Carleton Ave
Central Islip NY 11722-4506
Phone: (631) 234-7807
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 305164 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 405098 | New York |
Profile Details
NPI number | 1568787752 |
---|---|
LBN Legal business name | Dourdounas, Tracy |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2010 |
Last updated | Dec 23rd, 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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