Organization
GVPDO MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE M VASCONEZ PEREIRA DO (DIRECTOR)
(212) 929-3334
Entity
Organization
Contact information
Practice address
20 W 38TH ST, SUITE 306, NEW YORK, NY 10018-6228
(212) 768-1600
(212) 768-1606
Mailing address
231 W 15TH ST, SUITE 1C, NEW YORK, NY 10011-6433
(212) 929-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216012
NY
Other
Enumeration date
07/18/2011
Last updated
07/19/2011
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