| Tracy Moore, | |
|
2 Laura Ln, Otisville, NY 10963-2316 | |
| (845) 412-5414 | |
| Not Available |
| Full Name | Tracy Moore |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2 Laura Ln, Otisville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598130395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 316043 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Moore, 2 Laura Ln, Otisville, NY 10963-2316 Ph: () - | Tracy Moore, 2 Laura Ln, Otisville, NY 10963-2316 Ph: (845) 412-5414 |
Ashante Lewis, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1641 State Route 211, Otisville, NY 10963 Phone: 646-773-6029 | |
Alyssa Vukas, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 33 Walker St, Otisville, NY 10963 Phone: 720-204-9367 |