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Organization
GRACE FORDE MD PC
Active
Organization
GRACE FORDE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE FORDE MD (PRESIDENT/OWNER)
(516) 233-2634
Entity
Organization
Contact information
Practice address
1991 MARCUS AVE STE M217, NEW HYDE PARK, NY 11042-2040
(516) 233-2634
(516) 233-2635
Mailing address
1991 MARCUS AVE STE M217, NEW HYDE PARK, NY 11042-2040
(516) 233-2634
(516) 233-2635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
08/30/2023
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