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Contact Information

TRACY COLANGELO
689 NICOLLS RD
DEER PARK, NY11729-2725
 Phone: 631-300-6153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TRACY COLANGELO · (Female)

NPI # 1083852214
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2009
Last updated 12/06/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 281474091
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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