Individual provider · NPI-1

Dr. Tracy Michelle Adams, D.O

Obstetrics & Gynecology, Maternal & Fetal Medicine · Mineola, NY

NPI number1659643278

StatusActive

Last updated in NPPESFeb 5, 2021

Details

NPI: 1659643278
Entity type: Individual (NPI-1)
Name: Dr. Tracy Michelle Adams
Credential: D.O
Sex: Female
Sole proprietor: No
Enumeration date: Jan 27, 2012
Certification date: Feb 5, 2021
Last updated: Feb 5, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VM0101X	Obstetrics & Gynecology, Maternal & Fetal Medicine	265338-1	NY	Yes

Practice location

120 Mineola Blvd
Suite 110
Mineola, NY 11501-4064

Phone 516-666-3020 · Fax 516-663-3026

Mailing address

120 Mineola Blvd
Suite 110
Mineola, NY 11501-4064

Phone 516-666-3020 · Fax 516-663-3026

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