Henning, Tracey

Henning, Tracey is an individual health care provider with primary practice located at 36 Cleveland St , Bay Shore NY 11706-5814. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Henning, Tracey can be contacted via phone (631) 647-5151.

Contact Information

Primary practice address
36 Cleveland St Bay Shore NY 11706-5814
Phone: (631) 647-5151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 012283 New York

Profile Details

NPI number 1376672956
LBN Legal business name Henning, Tracey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 6th, 2016 - about 10 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 1376672956 NPPES
New York MEDICAID 04476188

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