person
Tracey Nicole Rosenlicht, OD
Student in an Organized Health Care Education/Training Program in Dix Hills, New York
NPI 1174374037

Tracey Nicole Rosenlicht is a Student in an Organized Health Care Education/Training Program based in Dix Hills, NY. Tracey Nicole Rosenlicht practices in Dix Hills, NY and has the professional credentials of OD. The NPI Number for Tracey Nicole Rosenlicht is 1174374037 and holds a License No. (New York).

The current practice location address for Tracey Nicole Rosenlicht is 40 Mcculloch Dr, Dix Hills, NY and can be reached out via phone at 631-871-5136.

Location: 40 Mcculloch Dr, Dix Hills, NY, 11746-8328
person
Provider Profile Details
NPI Number
1174374037
Provider Name
Tracey Nicole Rosenlicht
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
40 Mcculloch Dr, Dix Hills, NY, 11746-8328
Phone Number
631-871-5136
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
40 Mcculloch Dr
City
State
Zip
11746-8328
Phone Number
631-871-5136
Fax Number
person
Provider Business Mailing Address Details
Address
40 Mcculloch Dr
City
State
Zip
11746-8328
Phone Number
631-871-5136
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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