National Provider Identifier

Tracy Lynette Garrison

Tracy Lynette Garrison is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 743-7302.

NPI 1487128211Rochester, NYCounselor

Profile Overview

NPI
1487128211
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 15, 2019
Last Updated
January 15, 2019

Practice Location

  • 1 Mustard St
  • Rochester, NY 14609-6980

Phone: (585) 743-7302

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1487128211
Entity Type
Individual
Last Name
Garrison
First Name
Tracy
Middle Name
Lynette
Mailing Street Address
1 Mustard St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-6980
Mailing Country
US
Mailing Phone
(585) 743-7302
Practice Street Address
1 Mustard St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-6980
Practice Country
US
Practice Phone
(585) 743-7302
Enumeration Date
January 15, 2019
Last Updated
January 15, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)
Other Identifiers
101YOOOOOX (NY)