Barilla, Tracy

Barilla, Tracy is an individual health care provider with primary practice located at 17660 Union Tpke Ste 360, Fresh Meadows NY 11366-1526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Barilla, Tracy can be contacted via phone (718) 460-2300.

Contact Information

Primary practice address
17660 Union Tpke Ste 360 Fresh Meadows NY 11366-1526
Phone: (718) 460-2300
Fax: (718) 460-9697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011528 New York

Profile Details

NPI number 1700975539
LBN Legal business name Barilla, Tracy
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 10th, 2009 - about 17 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 1700975539 NPPES
New York Other 011582 LICENSE

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