Individual provider · Type 1 NPI

Grace Yanosich, PA

Medical Physician Assistant · New York, NY

NPI number 1982292579 Active

Practice location

525 E 68th St
New York, NY 10065-4870

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA062205 (PA)
Medical Physician Assistant Primary 363AM0700XPA.0007686 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1982292579

Grace Yanosich, PA's National Provider Identifier is 1982292579, issued on Jan 8, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Apr 11, 2023.