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Contact Information

TRACIE L DIMARCO, MD
4068 ALBANY POST RD
HYDE PARK, NY12538-3900
 Phone: 845-229-2123
 Fax: 845-229-6313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRACIE L DIMARCO · (Female)

NPI Number 1558354274
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2005
Last updated 09/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 220557
  • NY Medicaid 02164941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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