person
Grace Blair Condori, PA
Medical Physician Assistant in Fresh Meadows, New York
NPI 1013637297

Grace Blair Condori is a Medical Physician Assistant based in Port Chester, NY and is specialized in Medical. Grace Blair Condori practices in Fresh Meadows, NY and has the professional credentials of PA. The NPI Number for Grace Blair Condori is 1013637297 and holds a License No. (New York).

The current practice location address for Grace Blair Condori is 17505 Horace Harding Expy, Fresh Meadows, NY and can be reached out via phone at 718-990-8417.

Location: 17505 Horace Harding Expy, Fresh Meadows, NY, 10573-2947
person
Provider Profile Details
NPI Number
1013637297
Provider Name
Grace Blair Condori
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
17505 Horace Harding Expy, Fresh Meadows, NY, 10573-2947
Phone Number
718-990-8417
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17505 Horace Harding Expy
City
State
Zip
11365-1535
Phone Number
718-990-8417
Fax Number
person
Provider Business Mailing Address Details
Address
17505 Horace Harding Expy
City
State
Zip
11365-1535
Phone Number
718-990-8417
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(New York)
Definition
Definition to come...
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