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Individual

MRS. CHARISSE GRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
150-55 14TH AVE, 2ND FLOOR, WHITESTONE, NY 11357
(718) 559-3300

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309235
NY

Other

Enumeration date
08/21/2020
Last updated
04/29/2021
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