Tractorhealthsolutions Llc
Clinical Social Worker · Port Ewen, NY
At a glance
243 Bayard Street, Port Ewen, NY 12466
NPPES record updated Aug 11, 2016. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
243 Bayard Street # 724Port Ewen, NY 12466
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Aug 4, 2016
- Record updated
- Aug 11, 2016
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101YA0400X
License reported: 23700 NY
Clinical Social Worker
1041C0700X · Primary
License reported: 080579 NY
Specialty details in registry
171M00000X
License reported: 080579 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
243 Bayard Street# 724
Port Ewen, NY 12466
- Phone
- (646) 249-5767
Mailing address
243 BAYARD STREET# 724
PORT EWEN, NY 12466
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