Whalio Doctors

NPI 1336584523

Virginia Alldredge Tracey, MD

Practitioner Dermatology Physician East Syracuse, NY

Practice location

Address
5824 Widewaters Pkwy STE 4, East Syracuse, NY 13057-3072
Phone
(315) 500-7546
Fax
(315) 378-4210

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 295881 (NY)

Registry record

NPI
1336584523
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 May 2013
Record last updated
5 Nov 2020

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.