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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336584523 NPPES
New York Other 295881 NYS LICENSE

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