William Russell Grace M.D.

NPI 1578565610 - Specialist - 174400000X

NPI Details
NPI 1578565610
Gender Male
Enumeration Date 06/01/2005
Last Updated 04/02/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
36 7TH AVE
STE 511
NEW YORK NY, 10011-6600, US
Phone (212) 675-6826
Fax (212) 366-1697
Business Location
36 7TH AVE
STE 511
NEW YORK NY, 10011-6600, US
Phone (212) 675-6826
Fax (212) 366-1697
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 108472
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According to our database, Dr. William Russell Grace M.D. NPI is 1578565610, taxonomy code is 174400000X and license number is 108472, license state is located at New York. William Russell Grace M.D. physically located at 36 7th Ave, New York NY, 10011-6600. NPI Number William Russell Grace M.D. has the Individual type.

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1578565610 NPI number is provided on an as is basis without warranty of any kind. 1578565610 is maintained by the National Plan & Provider Enumeration System. The contents of William Russell Grace M.D. are for informational purposes only.