Tracy Van-Ness in Stony Brook - Physician Assistant
Tracy Van-Ness - NPI 1750319489
Tracy Van-Ness is a Physician Assistant in Stony Brook, New York. Tracy Van-Ness practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Van-Ness is 1750319489. The last update date is 2014-06-11.
Tracy Van-Ness's current location address is Hsc T12 Rm 080, Stony Brook, New York. You can contact this provider via phone number 6314441116 and fax number 6314441535. The mailing address for Tracy Van-Ness is Hsc T12 Rm 080, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Van-Ness |
|---|---|
| Address | Hsc T12 Rm 080, Stony Brook, New York |
| Phone Number | 6314441116 |
| Fax Number | 6314441535 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1750319489 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2014-06-11 |
Provider Mailing Address Detail
| Address | Hsc T12 Rm 080 |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117948122 |
| Phone Number | 6314441116 |
| Fax Number | 6314441535 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 7604 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2669583 | NY | -- |
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What is the unique 10-digit identification code assigned to Tracy Van-Ness by the Centers for Medicare & Medicaid Services?
The Tracy Van-Ness has been issued the NPI (National Provider Identifier) 1750319489, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy Van-Ness located?
The Tracy Van-Ness is located at Hsc T12 Rm 080, Stony Brook, NY 117948122.
What is Tracy Van-Ness's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy Van-Ness is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date was the 1750319489 assigned to Tracy Van-Ness?
The Tracy Van-Ness was issued its 1750319489 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracy Van-Ness most recently updated?
The details pertaining to the Tracy Van-Ness, including its address, specialty, and other relevant information, were last refreshed on 2014-06-11.