Organization
THE GRACE FOUNDATION OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M. LONG (EXECUTIVE DIRECTOR)
(718) 983-3800
Entity
Organization
Contact information
Practice address
460 BRIELLE AVE, STATEN ISLAND, NY 10314-6427
(718) 983-3800
(718) 983-3858
Mailing address
460 BRIELLE AVE, STATEN ISLAND, NY 10314-6427
(718) 983-3800
(718) 983-3858
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02852977
—
NY
Enumeration date
12/21/2015
Last updated
12/21/2015
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