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Mrs. Tracey Bennardo, NP
Family Nurse Practitioner in West Islip, New York
NPI 1194063594

Tracey Bennardo is a Family Nurse Practitioner based in Islip Terrace, NY and is specialized in Family. Tracey Bennardo practices in West Islip, NY and has the professional credentials of NP. The NPI Number for Tracey Bennardo is 1194063594 and holds a License No. 336543 (New York).

The current practice location address for Tracey Bennardo is 1000 Montauk Hwy, West Islip, NY and can be reached out via phone at 631-376-3000.

Location: 1000 Montauk Hwy, West Islip, NY, 11752-1037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194063594
Provider Name
Tracey Bennardo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 Montauk Hwy, West Islip, NY, 11752-1037
Phone Number
631-376-3000
Fax Number
Provider Enumeration Date
01/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
336543 (New York)
Definition
Definition to come...
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