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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154306637 NPPES
New Jersey MEDICAID 0088293

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