Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY MARIE SOUTHARD
Active Sole ProprietorTRACEY MARIE SOUTHARD is a Specialist healthcare provider located in MEDFORD, New York. NPI 1215298260 is currently active in the NPPES registry. Verify at CMS.
Specialist · MEDFORD, NY
Registration Details
- NPI Number
- 1215298260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2012 (14.188931929151 yrs)
- Last Updated
- Jun 6, 2012
- License
-
764610 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 SCOUTING BLVDMEDFORD, NY, 117632220Browse NY providers · Browse ZIP 11763
- Phone
- 6317450317
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MEDFORD, NY
| Name | Credential | NPI |
|---|---|---|
| DR. CLARA E LENGYEL-KREMENIC | M.D. | 1245288711 |
| DR. DAVID M WINKLER | M.D. | 1407931371 |
| COURTNEY LUGARO | — | 1538215165 |
| DANA MEREDITH KIEFER | M.A. OTRL | 1306986583 |
| SUSAN F MILLER | OTR | 1467595090 |
| DR. JAY DAVID GASSMAN | — | 1265575898 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.