Tracey Michelle Mata is a student in an organized health care education training program in Staten Island, NY. The provider is 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. Tracey Michelle Mata NPI is 1083286116. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
82 ARLO RD APT 1B
STATEN ISLAND, NY
ZIP 10301-879
Phone: (347) 885-3004
The enumeration date for this NPI number is 7/16/2021 and was last updated on 7/16/2021.