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NPI Code Detail

MEDICARE: MISS TRACY CATHLEEN SLANE RN

MEDICARE: MISS TRACY CATHLEEN SLANE RN
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
1163WS0200XSchool Registered Nurse5111851NY

General Provider Information

NPI Number : 1821311416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TRACY CATHLEEN SLANE RN
Provider Business Mailing Address
First Line : 1000 ELMWOOD AVE
Second Line : SUITE 100
City : ROCHESTER
State : NY
Zip : 14620-3093
Country : US
Telephone Number : 585-271-0761
Fax Number : 585-244-0205
Provider Business Practice Location Address
First Line : 1000 ELMWOOD AVE
Second Line : SUITE 100
City : ROCHESTER
State : NY
Zip : 14620-3093
Country : US
Telephone Number : 585-271-0761
Fax Number : 585-244-0205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2010
Last Update Date : 09/30/2011

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