Sall, Edward Tracy

Sall, Edward Tracy is an individual health care provider with primary practice located at 4000 Medical Center Dr. Ste 404, Fayetteville NY 13066. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Sall, Edward Tracy can be contacted via phone (315) 234-9865.

Contact Information

Primary practice address
4000 Medical Center Dr. Ste 404 Fayetteville NY 13066
Phone: (315) 234-9865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 104553 California
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 181365 New York

Profile Details

NPI number 1710961198
LBN Legal business name Sall, Edward Tracy
Credentials MD,DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 18th, 2024 - about 2 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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