SearchNew York363LF0000X

Tracy Small, APN

NPI 1467718437 · on the registry since 2012 · sole proprietor

Practice

Address
120 Park Ave
New York, NY 10017
Phone
(646) 324-2244
Organisation at this address
Premise Health Of New York Medical Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 355 Grand St, Jersey City, NJ

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
NJ, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-23

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