Messina, Tracey Lynn

Messina, Tracey Lynn is an sole proprietor health care provider with primary practice located at 112 Cedar Ave , Patchogue NY 11772-3538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Messina, Tracey Lynn can be contacted via phone (631) 252-2047.

Contact Information

Primary practice address
112 Cedar Ave Patchogue NY 11772-3538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F38330501 New York

Profile Details

NPI number 1548916414
LBN Legal business name Messina, Tracey Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548916414 NPPES
New York Other 661462-01 SUNY EDUCATION DEPARTMENT OFFICE OF PROFESSIONS

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