Individual
GRACE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, 11M, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
321 W 54TH ST, APARTMENT 614, NEW YORK, NY 10019-5165
(212) 262-4804
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
229548
NY
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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