Organization
GRACE MROZ NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MROZ (OWNER)
(631) 730-7503
Entity
Organization
Contact information
Practice address
450 WAVERLY AVE, BUILDING 4 SUITE 11, PATCHOGUE, NY 11772
(631) 730-7503
(631) 307-9422
Mailing address
450 WAVERLY AVE, BUILDING 4 SUITE 11, PATCHOGUE, NY 11772
(631) 730-7503
(631) 307-9422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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