TRACY MASA TAKAKI

BRENTWOOD, NY
NPI1649383225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004941)
Enumeration Date2006-08-16
Last Update Date2011-03-29
Business Address
Mr. TRACY MASA TAKAKI Physician Assistant
1869 BRENTWOOD RD BRENTWOOD
BRENTWOOD, NY 11717-4625
Phone number: 631-853-3400
Mailing Address
Mr. TRACY MASA TAKAKI Physician Assistant
1869 BRENTWOOD ROAD
BRENTWOOD, NY 11717-1742
Phone number:
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