Provider Demographics
NPI:1992739395
Name:HEMMERDINGER, TRACY BOHN (MD)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:BOHN
Last Name:HEMMERDINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1978 CROMPOND RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4111
Mailing Address - Country:US
Mailing Address - Phone:914-736-6180
Mailing Address - Fax:914-736-6183
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-736-6180
Practice Address - Fax:914-736-6183
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229899207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology