Tracy, Marjoria Marie

Tracy, Marjoria Marie is an individual health care provider with primary practice located at 143 North St Suite #4, Auburn NY 13021-1852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tracy, Marjoria Marie can be contacted via phone (315) 252-5028.

Contact Information

Primary practice address
143 North St Suite #4 Auburn NY 13021-1852
Phone: (315) 252-5028
Fax: (315) 252-5028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0280F000858 New York

Profile Details

NPI number 1023007929
LBN Legal business name Tracy, Marjoria Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 28th, 2011 - about 15 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 1023007929 NPPES
New York MEDICAID 01979193

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