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Contact Information

TRACY BOVA
13407 NEW YORK 12
BOONVILLE, NY13309
 Phone: 315-942-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TRACY BOVA · (Female)

NPI # 1104058791
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2009
Last updated 07/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 00676527
  • NY License # 338872
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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