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Mrs. Tracy Lynne Mctiernan, PNP
Pediatric Nurse Practitioner in New York, New York
NPI 1467671453

Tracy Lynne Mctiernan is a Pediatric Nurse Practitioner based in Staten Island, NY and is specialized in Pediatrics. Tracy Lynne Mctiernan practices in New York, NY and has the professional credentials of PNP. The NPI Number for Tracy Lynne Mctiernan is 1467671453 and holds a License No. F381220 (New York).

The current practice location address for Tracy Lynne Mctiernan is 530 1St Ave, New York, NY and can be reached out via phone at 212-263-7391 and via fax at 212-263-6590.

Location: 530 1St Ave, New York, NY, 10310-3024
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Provider Profile Details
NPI Number
1467671453
Provider Name
Tracy Lynne Mctiernan
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
530 1St Ave, New York, NY, 10310-3024
Phone Number
212-263-7391
Fax Number
212-263-6590
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02091867 05 NY
institution
Provider Business Practice Location Address Details
Address
530 1St Ave
City
State
Zip
10016-6402
Phone Number
212-263-7391
Fax Number
212-263-6590
person
Provider Business Mailing Address Details
Address
530 1St Ave
City
State
Zip
10016-6402
Phone Number
212-263-7391
Fax Number
212-263-6590
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F381220 (New York)
Definition
Definition to come...
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