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Tracy Takaki, PHYSICIAN ASSISTANT
NPI 1649383225 · on the registry since 2006
Practice
- Address
- 1869 Brentwood Rd
Brentwood
Brentwood, NY 11717 - Phone
- (631) 853-3400
- Organisation at this address
- County Of Suffolk
Sun River Health IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-29
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