| Doctor Name: | MRS. TRACY L EGGER |
| NPI Number: | 1568744324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 01217716 |
| Business Practice Address: | 35 Kreamer St Bellport, NY - 117132337 |
| Business Phone Number: | 6317301770 |
| Business Fax Number: | |
| Mailing Address: | 11 Sherbrook Ct, SHIRLEY |
| State: | NY |
| Postal Code: | 119674425 |
| Phone Number: | 6317722252 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2011 |
| NPI Last Update Date: | 09/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 01217716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |