Marmer, Tracy

Marmer, Tracy is an individual health care provider with primary practice located at 8900 Van Wyck Expy Jhmc Er, Jamaica NY 11418-2897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Marmer, Tracy can be contacted via phone (718) 206-6000.

Contact Information

Primary practice address
8900 Van Wyck Expy Jhmc Er Jamaica NY 11418-2897
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005645 New York

Profile Details

NPI number 1568513257
LBN Legal business name Marmer, Tracy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
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 1568513257 NPPES
New York MEDICAID 02241656

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