Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT | |
1869 Brentwood Rd, Brentwood, Brentwood, NY 11717-4625 | |
(631) 853-3400 | |
Not Available |
Full Name | Mr Tracy Masa Takaki |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1869 Brentwood Rd, Brentwood, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649383225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 004941 (New York) | Primary |
Mailing Address | Practice Location Address |
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Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT 1869 Brentwood Road, Brentwood, NY 11717-1742 Ph: () - | Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT 1869 Brentwood Rd, Brentwood, Brentwood, NY 11717-4625 Ph: (631) 853-3400 |
Charles Lambert, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Pineland Pl, Brentwood, NY 11717 Phone: 516-356-2958 | |
Claudia Salazar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 | |
Rosie Leann Del Rosario, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1556 Islip Ave, Brentwood, NY 11717 Phone: 631-234-8555 Fax: 631-236-5196 | |
Joshua R Stockhausen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-416-5480 | |
Frederick Patrick Kavanagh, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3400 | |
Mr. Thomas A Glanz, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3401 |