Individual
GRACE DWORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
336 99 ST, BROOKLYN, NY 11209
(718) 491-4334
Mailing address
336 99 ST, BROOKLYN, NY 11209
(718) 491-4334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287021
—
NY
Enumeration date
11/13/2006
Last updated
08/02/2019
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