Individual
DR. JACQUES H GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2378A RALPH AVE, BROOKLYN, NY 11234-5515
(516) 771-5046
Mailing address
PO BOX 271, BALDWIN, NY 11510-0271
(347) 601-1200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002510
NY
225200000X
Physical Therapy Assistant
3428
NY
Other
Enumeration date
04/10/2007
Last updated
12/25/2017
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