Tracy Dekhtyar, RPA-C

NPI #1891869715 in Deer Park, New York

Provider Information

NPI Number: 1891869715
Entity Type: Individual
Name: Tracy Dekhtyar, RPA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Nov 20, 2006
Last Updated: Jan 22, 2012

Practice Location

Address: 1940 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-3333
Phone: (516) 582-6784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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