Tracy M Morea, PA
Physician Assistant in Port Jefferson, NY. Individual provider (NPI-1).
NPI number1265463541
StatusActive
Last updated in NPPESAug 24, 2007
Details
- NPI
- 1265463541
- Entity type
- Individual (NPI-1)
- Name
- Tracy M Morea
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Aug 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 007284 | NY | Yes |
Practice location
75 N Country RdPort Jefferson, NY 11777-2119
Phone 631-473-1320 · Fax 631-686-7693
Mailing address
625 Belle Terre Rd100
Port Jefferson, NY 11777-2316
Phone 631-473-1320 · Fax 631-686-7693
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All 49 Physician Assistant providers in Port Jefferson · All 1,173 providers in Port Jefferson
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