Dr. Colleen Kilbourne Tracy
Family Doctor
777 Clinton Ave S
Rochester
, New York 14620-1448
Dr. Colleen Kilbourne Tracy
Family Doctor
777 Clinton Ave S
Rochester
, New York 14620-1448
(585) 279-4800
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Colleen Kilbourne Tracy
- 777 Clinton Ave S
- Rochester, NY
- Zip : 14620-1448
- Phone : (585) 279-4800
Second Address
- Dr. Colleen Kilbourne Tracy
- 777 Clinton Ave S
- Rochester, NY
- Zip : 14620-1448
- Phone : (585) 279-4763
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 307993 | NY |
National Provider Identifier
| NPI | 1003313206 |
|---|---|
| Provider Name | Dr. Colleen Kilbourne Tracy |
| First Address | Rochester, NY 14620-1448 |
| Second Address | Rochester, NY 14620-1448 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2018 |
| Last Update Date | 12/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.