Massa, Tracy

Massa, Tracy is an individual health care provider with primary practice located at 6700 Kirkville Rd Suite A, East Syracuse NY 13057-9305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Massa, Tracy can be contacted via phone (315) 463-2013.

Contact Information

Primary practice address
6700 Kirkville Rd Suite A East Syracuse NY 13057-9305
Fax: (315) 463-2019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 227536 New York

Profile Details

NPI number 1649220153
LBN Legal business name Massa, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 5th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649220153 NPPES
New York MEDICAID 02412224

Popular Providers