Krzanowski, Tracey Jay
Krzanowski, Tracey Jay is an individual health care provider with primary practice located at 100 Route 59 Suite 105, Suffern NY 10901-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Krzanowski, Tracey Jay can be contacted via phone (845) 357-5775.Contact Information
Primary practice address
100 Route 59 Suite 105
Suffern NY 10901-4927
Phone: (845) 357-5775
Fax: (845) 357-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA07935600 | New Jersey |
Profile Details
| NPI number | 1154306637 |
|---|---|
| LBN Legal business name | Krzanowski, Tracey Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jan 3rd, 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 | 1154306637 | NPPES |
| New Jersey | MEDICAID | 0088293 |
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