Individual
DR. GRACE VASCONEZ-PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., D.O.
Contact information
Practice address
231 W 15TH ST APT 1C, NEW YORK, NY 10011-6471
(212) 929-3334
Mailing address
231 W 15TH ST APT 1C, NEW YORK, NY 10011-6471
(212) 929-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02059630
—
NY
Enumeration date
01/29/2007
Last updated
10/16/2013
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