Individual
BRIDGET MARY DEGRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
530 ROUTE 6, MAHOPAC, NY 10541-7707
(917) 584-2060
Mailing address
89 DEACON SMITH HILL RD, PATTERSON, NY 12563-2919
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
001073-1
NY
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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