Joseph, Tracey H

Joseph, Tracey H is an individual health care provider with primary practice located at 1655 Flatbush Ave Suite A104, Brooklyn NY 11210-3276. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Joseph, Tracey H can be contacted via phone (718) 377-1319.

Contact Information

Primary practice address
1655 Flatbush Ave Suite A104 Brooklyn NY 11210-3276
Fax: (718) 377-1302
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048192 New York

Profile Details

NPI number 1639149156
LBN Legal business name Joseph, Tracey H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639149156 NPPES
New York Other 1687857 UNITED CONCORDIA
New York MEDICAID 01995862 UNITED CONCORDIA
New York Other 0013156 UNITED CONCORDIA

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