Root, Tracey L

Root, Tracey L is an individual health care provider with primary practice located at 446 River Rd , Shirley NY 11967-1515. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Root, Tracey L can be contacted via phone (631) 772-7044.

Contact Information

Primary practice address
446 River Rd Shirley NY 11967-1515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 634240 New York

Profile Details

NPI number 1245536531
LBN Legal business name Root, Tracey L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2011
Last updated Feb 3rd, 2011 - about 13 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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