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Mrs. Irene Grysman, NP
Gerontology Nurse Practitioner in Flushing, New York
NPI 1174652333

Irene Grysman is a Gerontology Nurse Practitioner based in Flushing, NY and is specialized in Gerontology. Irene Grysman practices in Flushing, NY and has the professional credentials of NP. The NPI Number for Irene Grysman is 1174652333 and holds a License No. 340450 (New York).

The current practice location address for Irene Grysman is 7648 173Rd St, Flushing, NY and can be reached out via phone at 718-480-4026.

Location: 7648 173Rd St, Flushing, NY, 11366-1430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174652333
Provider Name
Irene Grysman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7648 173Rd St, Flushing, NY, 11366-1430
Phone Number
718-480-4026
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02022737 05 NY
institution
Provider Business Practice Location Address Details
Address
7648 173Rd St
City
Flushing
State
New York
Zip
11366-1430
Phone Number
718-480-4026
Fax Number
person
Provider Business Mailing Address Details
Address
7648 173Rd St
City
Flushing
State
New York
Zip
11366-1430
Phone Number
718-480-4026
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
340450 (New York)
Definition
Definition to come...
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