Krasnow, Tracey Edan

Krasnow, Tracey Edan is an sole proprietor health care provider with primary practice located at 500 Blue Hills Ave , Hartford CT 06112-1500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Krasnow, Tracey Edan can be contacted via phone (860) 714-3616.

Contact Information

Primary practice address
500 Blue Hills Ave Hartford CT 06112-1500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01063613A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01063613A Indiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01063613A Indiana

Profile Details

NPI number 1740499656
LBN Legal business name Krasnow, Tracey Edan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated May 1st, 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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