Individual
GRACIA A JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2832 LINDEN BLVD, LINDENWOOD CTR, BROOKLYN, NY 11208
(718) 240-2000
(718) 240-2215
Mailing address
233 NOSTRAND AVE, BROOKLYN, NY 11205
(718) 826-5911
(718) 826-5860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1303841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721435
—
NY
Enumeration date
05/10/2006
Last updated
07/08/2007
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