Tracy Massa in East Syracuse - Pediatrics

Tracy Massa - NPI 1649220153

Tracy Massa is a Pediatrics in East Syracuse, New York. Tracy Massa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tracy Massa is 1649220153. The last update date is 2021-04-05.

Tracy Massa's current location address is 6700 Kirkville Rd, East Syracuse, New York. You can contact this provider via phone number 3154632013 and fax number 3154632019. The mailing address for Tracy Massa is 6700 Kirkville Rd, East Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Massa
Address 6700 Kirkville Rd, East Syracuse, New York
Phone Number 3154632013
Fax Number 3154632019
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649220153
Provider Enumeration Date 2006-05-12
Last Updated Date 2021-04-05

Provider Mailing Address Detail

Address 6700 Kirkville Rd
City East Syracuse
State New York (NY)
Post Code 130579305
Phone Number 3154632013
Fax Number 3154632019

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 227536
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2412224 NY --

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FAQs about Tracy Massa

What is the unique identifier code issued to Tracy Massa by the Centers for Medicare & Medicaid Services (CMS)?

The Tracy Massa has been assigned the NPI (National Provider Identifier) 1649220153. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Tracy Massa?

The Tracy Massa is situated at 6700 Kirkville Rd, in the city of East Syracuse, state of NY, with the zip code 130579305.

What is Tracy Massa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tracy Massa's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Tracy Massa receive its 1649220153 assignment from the Centers for Medicare & Medicaid Services?

The Tracy Massa was assigned its 1649220153 by the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date was the information regarding Tracy Massa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracy Massa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-05.

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