Individual
DR. DANIELLE M GRACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
100 WILLOW PARK CTR, T 1866, FARMINGDALE, NY 11735-1001
(631) 962-0271
(631) 962-0271
Mailing address
100 WILLOW PARK CENTER, T 1866, FARMINGDALE, NY 11793
(631) 962-0271
(631) 962-0271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531588
—
NY
Enumeration date
07/21/2008
Last updated
07/21/2008
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