Individual
GRACE YANOSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062205
PA
363AM0700X
Medical Physician Assistant
Primary
PA.0007686
CO
Other
Enumeration date
01/08/2021
Last updated
04/11/2023
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