Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Rostholder

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669821732

Tracy Rostholder is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

222 Station Plz N Ste 611
Mineola, NY 11501-3893
Phone: (516) 663-2532
Fax: (516) 663-4409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 299069 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669821732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing address222 Station Plz N Ste 611, Mineola, NY 11501-3893

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