Individual
GRACE GEEVARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPRESSWAY, JAMAICA HOSPITAL MEDICAL CENTRE, JAMAICA, NY 11418
(718) 206-6191
(718) 206-7148
Mailing address
8900 VAN WYCK EXPRESSWAY, JAMAICA HOSPITAL MEDICAL CENTRE, JAMAICA, NY 11418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F335978
NY
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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