Individual
GRACE RAGUES MAISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 SQUADRON BLVD, SUITE 102, NEW CITY, NY 10956-5200
(845) 708-0900
(845) 708-0931
Mailing address
20 SQUADRON BLVD, SUITE 102, NEW CITY, NY 10956-5200
(845) 708-0900
(845) 708-0931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187275
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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