Individual
MS. PERI DANA DEGRAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
103 5TH AVE, THIRD FLOOR, NEW YORK, NY 10003-1009
(212) 366-4765
(212) 229-1020
Mailing address
103 5TH AVE, SUITE 3, NEW YORK, NY 10003-1009
(212) 366-4765
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420853-1
NY
367A00000X
Advanced Practice Midwife
F001272-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565709-1
RN LICENSE NUMBER
NY
01
—
F001272-1
CNM LICENSE NUMBER
NY
Enumeration date
06/21/2007
Last updated
11/09/2009
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