Ms. Tracy Manners
Nurse Practitioner - Pediatrics
1770 Motor Pkwy
Hauppauge
, New York 11749-5260
Ms. Tracy Manners
Nurse Practitioner - Pediatrics
1770 Motor Pkwy
Hauppauge
, New York 11749-5260
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Tracy Manners
- 5 Seabrook Ct
- Stony Brook, NY
- Zip : 11790-3305
- Phone :
Second Address
- Ms. Tracy Manners
- 1770 Motor Pkwy
- Hauppauge, NY
- Zip : 11749-5260
- Phone : (631) 434-1770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 831834 | NY |
National Provider Identifier
| NPI | 1033282991 |
|---|---|
| Provider Name | Ms. Tracy Manners |
| First Address | Stony Brook, NY 11790-3305 |
| Second Address | Hauppauge, NY 11749-5260 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 08/07/2007 |
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.