Active NPIIndividual provider

Tracee M Martinez Vasquez, ED M

Specialist in Staten Island, New York

NPI Number1043701725
Practice location
232 Heberton Ave, Staten Island, NY 10302-1807
Fax
—
Last updated
September 24, 2018

Tracee Marie Martinez Vasquez is a Specialist based in Staten Island, NY. Tracee Marie Martinez Vasquez practices in Staten Island, NY and has the professional credentials of ED M. The NPI Number for Tracee Marie Martinez Vasquez is 1043701725. The current practice location address for Tracee Marie Martinez Vasquez is 232 Heberton Ave, Staten Island, NY 10302-1807 and can be reached out via phone at 917-446-7077.

Provider Profile Details

NPI Number
1043701725
Provider Name
Tracee Marie Martinez Vasquez
Credential
ED M
Provider Entity Type
Individual
Gender
Female
Address
232 Heberton Ave, Staten Island, NY 10302-1807
Phone Number
917-446-7077
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Other Names
Tracee Marie Santos (Former Name)
Provider Enumeration Date
May 29, 2018
Last Update Date
September 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
232 Heberton Ave
Staten Island, NY 10302-1807
Zip
10302-1807
Phone Number
917-446-7077
Staten Island, NY 10302Get directions →

Provider Business Mailing Address Details

Address
232 Heberton Ave
Staten Island, NY 10302-1807
City
Staten Island
State
NY
Zip
10302-1807
Phone Number
917-446-7077

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracee M Martinez Vasquez, ED M?

The NPI number of Tracee M Martinez Vasquez, ED M is 1043701725. It was assigned on May 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Tracee M Martinez Vasquez, ED M?

Tracee M Martinez Vasquez, ED M is registered under the primary taxonomy Specialist (code 174400000X).

Where does Tracee M Martinez Vasquez, ED M practice?

The practice location is 232 Heberton Ave, Staten Island, NY 10302-1807. The office can be reached at 917-446-7077 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043701725 directly on the NPPES registry website.

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