Tracey, Virginia Alldredge
Tracey, Virginia Alldredge is an sole proprietor health care provider with primary practice located at 5824 Widewaters Pkwy Ste 4 , East Syracuse NY 13057-3072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Tracey, Virginia Alldredge can be contacted via phone (315) 500-7546.Contact Information
Primary practice address
5824 Widewaters Pkwy Ste 4
East Syracuse NY 13057-3072
Phone: (315) 500-7546
Fax: (315) 378-4210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 295881 | New York |
Profile Details
| NPI number | 1336584523 |
|---|---|
| LBN Legal business name | Tracey, Virginia Alldredge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2013 |
| Last updated | Nov 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336584523 | NPPES |
| New York | Other | 295881 | NYS LICENSE |
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