Tracey Bracco, MS/TSHH, MSED
Individual provider Active NPI Health Educator · Shirley, NY
NPI 1093123200 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1093123200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 99 Lexington Rd
Shirley, NY 11967-2821 - Phone
- (631) 281-6800
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
99 Lexington Rd
Shirley, NY 11967-2821
Mailing address
109 Valley Dr
Sound Beach, NY 11789-1738
Phone (631) 255-2141
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.