Individual provider · Type 1 NPI

Tracy McTiernan

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1497645345 Active

Practice location

519 Tompkins Ave
Staten Island, NY 10305-1739

Call (646) 400-2571 Map

Fax (646) 400-2571

Mailing address

220 Heberton Ave
Staten Island, NY 10302-1415

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497645345

Tracy McTiernan's National Provider Identifier is 1497645345, issued on Jul 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jul 3, 2025.