Individual
MS. GRACE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1668 BRYANT AVE, BRONX, NY 10460-5301
(646) 554-9814
Mailing address
1668 BRYANT AVE, BRONX, NY 10460-5301
(646) 554-9814
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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