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Individual

ALEX GRACIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
961 E 174TH ST, BRONX, NY 10460-5060
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338775
NY
207Q00000X
Family Medicine Physician
ME175962
FL

Other

Enumeration date
04/18/2022
Last updated
04/22/2026
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