Individual provider · Type 1 NPI
Tracey Bennardo, NP
Family Nurse Practitioner · West Islip, NY
NPI number
1194063594
Active
Practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
111 Cedarhurst St
Islip Terrace, NY 11752-1037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 336543 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194063594
Tracey Bennardo, NP's National Provider Identifier is 1194063594, issued on Jan 21, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Islip, NY. The record was last updated on Jan 21, 2013.