Kisner, Tracy Jaclyn

Kisner, Tracy Jaclyn is an individual health care provider with primary practice located at 1981 Marcus Ave Suite C119, New Hyde Park NY 11042-1038. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kisner, Tracy Jaclyn can be contacted via phone (516) 390-3525.

Contact Information

Primary practice address
1981 Marcus Ave Suite C119 New Hyde Park NY 11042-1038
Phone: (516) 390-3525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 018203 New York

Profile Details

NPI number 1568693752
LBN Legal business name Kisner, Tracy Jaclyn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Aug 5th, 2009 - about 15 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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