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1154417848
TRACIE A ACKERMAN
BAY SHORE, NY
NPI
1154417848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 304378)
Enumeration Date
2006-10-04
Last Update Date
2023-10-02
Business Address
TRACIE A ACKERMAN ANP-C, AGACNP
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3171
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Mailing Address
TRACIE A ACKERMAN ANP-C, AGACNP
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3171
Copy
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