Individual
GRACE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
103297
GA
Other
Enumeration date
03/23/2019
Last updated
02/20/2025
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