Sarabia, Traci Lynn

Sarabia, Traci Lynn is an individual health care provider with primary practice located at 43 Liberty Dr , Amsterdam NY 12010-5635. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sarabia, Traci Lynn can be contacted via phone (518) 954-2027.

Contact Information

Primary practice address
43 Liberty Dr Amsterdam NY 12010-5635
Phone: (518) 954-2027
Fax: (518) 842-3507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0185271 New York

Profile Details

NPI number 1013970961
LBN Legal business name Sarabia, Traci Lynn
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013970961 NPPES
New York MEDICAID 02430624
New York Other 10074339
New York Other 000407231005
New York Other 394901
New York Other QS9453

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