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Tracy Clark

NPI 1366771750 · on the registry since 2009 · sole proprietor

Practice

Address
2 Backus St
Rochester, NY 14608
Phone
(585) 647-1314

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York