National Provider Identifier

Tracy Fabian, DO

Tracy Fabian, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Warsaw, NY and a listed phone number of (585) 786-1541.

NPI 1801241161Warsaw, NYFamily Medicine Physician

Profile Overview

NPI
1801241161
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 25, 2016
Last Updated
June 09, 2020

Practice Location

  • 400 N Main St
  • Warsaw, NY 14569-1025

Phone: (585) 786-1541

Mailing Address

  • 401 Main St
  • Arcade, NY 14009-1113

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1801241161
Entity Type
Individual
Last Name
Fabian
First Name
Tracy
Credential
DO
Mailing Street Address
401 Main St
Mailing City
Arcade
Mailing State
NY
Mailing ZIP Code
14009-1113
Mailing Country
US
Mailing Phone
(585) 492-5088
Practice Street Address
400 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1025
Practice Country
US
Practice Phone
(585) 786-1541
Practice Fax
(585) 492-4681
Enumeration Date
April 25, 2016
Last Updated
June 09, 2020
Sex
Female
Sole Proprietor
No
Certification Date
June 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)