TRACEY RENEE' TENNESSEE

NEW YORK, NY
NPI1881980639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  641983)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  641983-1)
Enumeration Date2011-06-21
Last Update Date2011-08-23
Business Address
-- TRACEY RENEE' TENNESSEE
1 GUSTAVE L LEVY PL ANESTHESIOLOGY - BOX 1010
NEW YORK, NY 10029-6500
Phone number: 800-627-4470
Mailing Address
-- TRACEY RENEE' TENNESSEE
PO BOX 12023
NEWARK, NJ 07101-5023
Phone number: 212-427-2666