Heffron, Tracy

Heffron, Tracy is an individual health care provider with primary practice located at 200 North St Suite 101, Geneva NY 14456-1561. 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. Heffron, Tracy can be contacted via phone (315) 787-5100.

Contact Information

Primary practice address
200 North St Suite 101 Geneva NY 14456-1561
Phone: (315) 787-5100
Fax: (315) 787-5108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8185 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008185 New York

Profile Details

NPI number 1194889386
LBN Legal business name Heffron, Tracy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 28th, 2023 - about 3 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 1194889386 NPPES
New York MEDICAID 02384912
New York Other 970029958
New York Other 110857BJ
New York Other P019008185

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