Organization
THE GRACE FOUNDATION OF NEW YORK
Active
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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