Tracy Peterson in Islandia - Physician Assistant
Tracy Peterson - NPI 1669563136
Tracy Peterson is a Physician Assistant in Islandia, New York. Tracy Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Peterson is 1669563136. The last update date is 2018-10-02.
Tracy Peterson's current location address is 3001 Expressway Dr N, Islandia, New York. You can contact this provider via phone number 6314341770 and fax number 6314341254. The mailing address for Tracy Peterson is 3001 Expressway Dr N, Islandia, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Peterson |
|---|---|
| Address | 3001 Expressway Dr N, Islandia, New York |
| Phone Number | 6314341770 |
| Fax Number | 6314341254 |
| Sole Proprietor | N |
| Credentials | R.P.A.C. |
NPI Number Detail
| NPI Number | 1669563136 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2018-10-02 |
Provider Mailing Address Detail
| Address | 3001 Expressway Dr N |
|---|---|
| City | Islandia |
| State | New York (NY) |
| Post Code | 117495301 |
| Phone Number | 6314341770 |
| Fax Number | 6314341254 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8224 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracy Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Peterson has been assigned the NPI (National Provider Identifier) 1669563136. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Tracy Peterson is physically located?
The Tracy Peterson is physically situated at the following address: 3001 Expressway Dr N, Islandia, NY, 117495301.
What is Tracy Peterson's area of expertise and its corresponding taxonomy classification?
The Tracy Peterson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1669563136 assigned to Tracy Peterson?
The Tracy Peterson was issued its 1669563136 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tracy Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-10-02.
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