Tracy Heritage, RN
NPI #1255616504 in East Greenbush, New York
Provider Information
- NPI Number
- 1255616504
- Entity Type
- Individual
- Name
- Tracy Heritage, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Credential
- RN
- Enumeration Date
- Oct 19, 2011
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 962 LUTHER RD
- City
- East Greenbush
- State
- New York
- ZIP Code
- 12061-4015
- Phone
- (518) 207-2070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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