Bennardo, Tracey
Bennardo, Tracey is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennardo, Tracey can be contacted via phone (631) 376-3000.Contact Information
Primary practice address
1000 Montauk Hwy
West Islip NY 11795-4927
Phone: (631) 376-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 336543 | New York |
Profile Details
| NPI number | 1194063594 |
|---|---|
| LBN Legal business name | Bennardo, Tracey |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2013 |
| Last updated | Jan 21st, 2013 - about 13 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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