Individual
GRACIE NICOLE MEDVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1317 THIRD AVENUE, FLOOR 8, NEW YORK, NY 10021-2962
(212) 434-6400
(212) 249-1269
Mailing address
1317 THIRD AVENUE, FLOOR 8, NEW YORK, NY 10021-2962
(212) 434-6400
(212) 249-1269
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383434
NY
Other
Enumeration date
08/11/2022
Last updated
11/21/2022
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