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JERRY J TRACY III PHYSICIAN PLLC NPI 1730531054


NPI Information

NPI: 1730531054
Provider Name: JERRY J TRACY III, PHYSICIAN, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1275 MAIN ST
SUITE 110
BUFFALO, NY
ZIP 14209
Phone: (716) 799-5351
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JERRY J TRACY III, PHYSICIAN, PLLC is an interventional pain medicine pain medicine in Buffalo, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. JERRY J TRACY III, PHYSICIAN, PLLC NPI is 1730531054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 MAIN ST
SUITE 110
BUFFALO, NY
ZIP 14209-911
Phone: (716) 799-5351
Fax: (716) 342-2974

The provider's authorized official is Kaitlin Gartler .
The authorized official title is Office Manager and has the following contact phone number (716) 799-5351.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine2250481NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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