Marshall, Tracy

Marshall, Tracy is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. 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. Marshall, Tracy can be contacted via phone (718) 670-2621.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-2621
Fax: (516) 437-4167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 013765 New York

Profile Details

NPI number 1497863625
LBN Legal business name Marshall, Tracy
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 3rd, 2008 - about 18 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 1497863625 NPPES
New York MEDICAID 02729179

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