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Individual

GRACE LIOUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
240 E 38TH ST FL 13, NEW YORK, NY 10016-2708
(212) 598-6500
(212) 598-6689
Mailing address
8 SPRUCE ST APT 19D, NEW YORK, NY 10038-5211
(732) 372-9477

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341965
NY

Other

Enumeration date
10/23/2017
Last updated
05/16/2022
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