Individual
GRACE GARCIA LESSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 PATCHOGUE YAPHANK RD STE A, EAST PATCHOGUE, NY 11772-4886
(631) 289-0001
(631) 758-2958
Mailing address
260 PATCHOGUE YAPHANK RD STE A, EAST PATCHOGUE, NY 11772-4886
(631) 289-0001
(631) 758-2958
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
204125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075203
—
NY
Enumeration date
11/07/2006
Last updated
08/17/2020
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