Tracy, Mollie Mcleod

Tracy, Mollie Mcleod is an individual health care provider with primary practice located at 2057 Dream Catcher Plz , Oneida NY 13421-2729. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tracy, Mollie Mcleod can be contacted via phone (315) 829-8700.

Contact Information

Primary practice address
2057 Dream Catcher Plz Oneida NY 13421-2729
Phone: (315) 829-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1046166 New York

Profile Details

NPI number 1104489673
LBN Legal business name Tracy, Mollie Mcleod
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 5 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 1104489673 NPPES
New York MEDICAID 01705682

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