Individual
GRACE FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 GREAT NECK RD, GREAT NECK, NY 11021-3357
(516) 487-4464
(516) 487-4950
Mailing address
170 GREAT NECK RD, GREAT NECK, NY 11021-3357
(516) 487-4464
(516) 487-4950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207390
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207390
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
207390
NY
2084N0400X
Neurology Physician
74667
AZ
208VP0000X
Pain Medicine Physician
207390
NY
208VP0014X
Interventional Pain Medicine Physician
207390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01775795
—
NY
Enumeration date
06/15/2005
Last updated
02/11/2026
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