Jerry J Tracy Iii, Physician, Pllc

Specialty details in registry · Buffalo, NY

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At a glance

1275 Main St, Buffalo, NY 14209-1911

NPPES record updated Jul 11, 2016. Public records can lag behind changes at a practice.

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Practice location

1275 Main St Suite 110
Buffalo, NY 14209-1911

Professional details: NPI, taxonomy & registry record

NPI1730531054

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 208VP0014X
Enumeration date: Jul 11, 2016
Record updated: Jul 11, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208VP0014X · Primary

License reported: 2250481 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1275 Main St
Suite 110
Buffalo, NY 14209-1911

Phone: (716) 799-5351
Fax: (716) 342-2974

Mailing address

1275 MAIN ST
SUITE 110
BUFFALO, NY 142091911

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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