Tracey, Anthony Joseph

Tracey, Anthony Joseph is an individual health care provider with primary practice located at 725 Irving Ave Suite 403, Syracuse NY 13210-2306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Tracey, Anthony Joseph can be contacted via phone (315) 464-6060.

Contact Information

Primary practice address
725 Irving Ave Suite 403 Syracuse NY 13210-2306
Phone: (315) 464-6060
Fax: (315) 464-2879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 40393 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 295550 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 295550 New York
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 073861 Georgia

Profile Details

NPI number 1538486295
LBN Legal business name Tracey, Anthony Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Oct 22nd, 2019 - about 7 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 1538486295 NPPES
New York MEDICAID 05295565

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