Organization
WILLIAM R GRACE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R GRACE M.D. (PRESIDENT)
(212) 675-6826
Entity
Organization
Contact information
Practice address
36 7TH AVE, SUITE 511, NEW YORK, NY 10011-6609
(212) 675-6826
(212) 366-1697
Mailing address
36 7TH AVE, SUITE 511, NEW YORK, NY 10011-6609
(212) 675-6826
(212) 366-1697
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
108472
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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