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NPI Code Detail

MEDICARE: CHERYL L TRACY REGISTERED NURSE

MEDICARE:   CHERYL L TRACY  REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse463950-1NY

General Provider Information

NPI Number : 1649063371
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL L TRACY REGISTERED NURSE
Provider Business Mailing Address
First Line : 264 DANIELS RD
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-9132
Country : US
Telephone Number : 518-428-0136
Fax Number : 518-428-0136
Provider Business Practice Location Address
First Line : 10 SANFORD ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-2931
Country : US
Telephone Number : 518-761-6964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2025
Last Update Date : 05/27/2025

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Directions to “ CHERYL L TRACY REGISTERED NURSE” Practice Location

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