Individual
MISS KAYE DE GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
797 NICOLLS RD, DEER PARK, NY 11729-3701
(631) 667-1858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
91985
NY
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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