Most Relevant Information
Provider Data
| NPI Number: | 1003004748 |
| Provider Name: | TRACY TASSONE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 573551 |
Most Important Dates
| Enumeration Date: | 10/09/2007 |
| Last Updated: | 10/09/2007 |
Provider Practice Location
203 HELEN ST # 2
SYRACUSE
NY
132031243
Practice Location Phone/Fax
| Phone: | 9548175188 |
| Fax: |
Provider Mailing Location
203 HELEN ST # 2
SYRACUSE
NY
132031243
Provider Mailing Phone/Fax
| Phone: | 9548175188 |
| Fax: |