GRACE SA
NPI 1659145092
Registered Nurse - Addiction (Substance Use Disorder) in New York, NY
Active since November 07, 2023
About Grace Sa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE SA (NPI 1659145092) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (470129) and active in the NPI registry since November 2023.
NPPES Registry Identity
NPI1659145092
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameGRACE SA
Location Address103 E.125TH STNew York, NY 10035-1641
Mailing Address103 E.125th StNew York, NY 10035-1641 · (212) 774-3271
Phone(212) 774-3271
Sole ProprietorYes
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1659145092 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in NY · 470129
103 E.125TH ST, New York, NY 10035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659145092, enumerated as an "individual" on November 07, 2023.
The provider is located at 103 E.125TH ST NEW YORK, NY 10035 and the phone number is (212) 774-3271.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
