| Grace Mroz Np In Psychiatry Pllc | |
|
450 Waverly Ave Building 4 Suite 11 Patchogue NY 11772 | |
| (631) 730-7503 | |
| (631) 307-9422 |
| Full Name | Grace Mroz Np In Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 450 Waverly Ave, Patchogue, New York |
| Authorized Official Name and Position | Grace Mroz (OWNER) |
| Authorized Official Contact | 6317307503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Mroz Np In Psychiatry Pllc 450 Waverly Ave Building 4 Suite 11 Patchogue NY 11772 Ph: (631) 730-7503 | Grace Mroz Np In Psychiatry Pllc 450 Waverly Ave Building 4 Suite 11 Patchogue NY 11772 Ph: (631) 730-7503 |
| NPI Number | 1164984498 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164984498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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