Individual
AMELIA LUYUE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
43 AVON CIR APT C, RYE BROOK, NY 10573-2012
(914) 380-0193
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
031086
NY
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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