Individual
DR. JANE PRATT-GRIPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
4729 193RD ST, FLUSHING, NY 11358-3928
(718) 225-7344
(718) 225-7346
Mailing address
4729 193RD ST, FLUSHING, NY 11358-3928
(718) 225-7344
(718) 225-7346
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01053910
—
NY
01
—
5367710001
DMERC
NY
01
—
P043159
WOEKER'S COMPENSATION
NY
Enumeration date
01/05/2007
Last updated
04/01/2015
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