Toback, Tracey G

Toback, Tracey G is an individual health care provider with primary practice located at 43 Grand St , Kingston NY 12401-3933. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Toback, Tracey G can be contacted via phone (845) 339-3338.

Contact Information

Primary practice address
43 Grand St Kingston NY 12401-3933
Phone: (845) 339-3338
Fax: (845) 340-1074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004154-3 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000465 Connecticut

Profile Details

NPI number 1346249133
LBN Legal business name Toback, Tracey G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
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 1346249133 NPPES
New York MEDICAID 01941551

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