Individual provider · Type 1 NPI
Gracie Nicole Medvinsky, NP
Pediatric Nurse Practitioner · New York, NY
NPI number
1760110316
Active
Practice location
1317 Third Avenue, Floor 8
New York, NY 10021-2962
Fax (212) 249-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383434 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1760110316
Gracie Nicole Medvinsky, NP's National Provider Identifier is 1760110316, issued on Aug 11, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 21, 2022.