NPI 1174319370

Tracy Kowalski

Practitioner Technician New Egypt, NJ

Practice location

Address: 52 Huckleberry Ln, New Egypt, NJ 08533-2832
Phone: (631) 721-6369

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence 25-419655 (NJ)

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Registry record

NPI: 1174319370
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2025
Record last updated: 16 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.