Organization · Type 2 NPI

Mercy & Grace Nurse Practitioner In Gerontology of New York PLLC

Gerontology Nurse Practitioner · Staten Island, NY

NPI number 1831481860 Active

Practice location

89 Arlington Ave
Staten Island, NY 10303-1601

Fax (347) 466-5393

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNone listed

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1831481860

Mercy & Grace Nurse Practitioner In Gerontology of New York PLLC's National Provider Identifier is 1831481860, issued on May 10, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Staten Island, NY. The record was last updated on Oct 24, 2011.