Individual
ELIZABETH GARACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 2ND AVE, NEW YORK, NY 10016-4859
(646) 501-4848
Mailing address
2641 3RD ST APT 405, ASTORIA, NY 11102-4855
(718) 578-8945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757135
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312143
NY
Other
Enumeration date
11/08/2024
Last updated
12/16/2024
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