| Graceann Corp | |
|
15916 Union Tpke Ste 325 Fresh Meadows NY 11366-1963 | |
| (718) 909-8908 | |
| (718) 471-9853 |
| Full Name | Graceann Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15916 Union Tpke, Fresh Meadows, New York |
| Authorized Official Name and Position | Grace Ann Foster (OWNER) |
| Authorized Official Contact | 7189098908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceann Corp Po Box 655 Lawrence NY 11559-0655 Ph: (718) 909-8908 | Graceann Corp 15916 Union Tpke Ste 325 Fresh Meadows NY 11366-1963 Ph: (718) 909-8908 |
| NPI Number | 1831756774 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831756774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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