Individual
MS. ADA R GRACIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 FORT GEORGE HL, NEW YORK, NY 10040-2511
(815) 310-0404
Mailing address
1 FORDHAM PLZ, BRONX, NY 10458-5871
(718) 295-7691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071887
NY
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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