Mr. Tracy Masa Takaki, PHYSICIANASSISTANT
Mr. Tracy Masa Takaki, PHYSICIANASSISTANT is a Physician Assistant in Brentwood, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
1869 Brentwood Rd BrentwoodBrentwood, NY 11717-4625
Phone: (631) 853-3400
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 004941 (NY) |
|---|
Record details
| NPI number | 1649383225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | March 29, 2011 |
Other providers in Brentwood
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Joseph Francis Georges, PA
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Leah Giakas, PA-C
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Frederick Patrick Kavanagh, RPA-C
1869 Brentwood Rd, Brentwood, NY 11717-4625 · (631) 853-3400
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Joshua R Stockhausen, PA-C
1869 Brentwood Rd, Brentwood, NY 11717-4625 · (631) 416-5480