Provider Demographics
NPI:1346614237
Name:PERRAPATO, TRACY H (DO)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:H
Last Name:PERRAPATO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3671 SOUTHWESTERN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1752
Mailing Address - Country:US
Mailing Address - Phone:716-662-7008
Mailing Address - Fax:716-662-5226
Practice Address - Street 1:3671 SOUTHWESTERN BOULEVARD
Practice Address - Street 2:SUITE 101
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1752
Practice Address - Country:US
Practice Address - Phone:716-662-7008
Practice Address - Fax:716-662-5226
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
VT032.0104809207Q00000X
NY169007-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine