TRACEY BENNARDO

WEST ISLIP, NY
NPI1194063594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  336543)
Enumeration Date2013-01-21
Last Update Date2013-01-21
Business Address
Mrs. TRACEY BENNARDO NP
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
Mailing Address
Mrs. TRACEY BENNARDO NP
111 CEDARHURST ST
ISLIP TERRACE, NY 11752-1037
Phone number: 631-650-1625
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