Organization
GRACECARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC E ONYEMA (M.D)
(718) 963-0276
Entity
Organization
Contact information
Practice address
601 W 177TH ST, NEW YORK, NY 10033-7152
(718) 963-0276
Mailing address
601 W 177TH ST, NEW YORK, NY 10033-7152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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