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Mrs. Grace Jacqueline Desucre, PA-C
Medical Physician Assistant in New York, New York
NPI 1215281092

Grace Jacqueline Desucre is a Medical Physician Assistant based in Brewster, NY and is specialized in Medical. Grace Jacqueline Desucre practices in New York, NY and has the professional credentials of PA-C. The NPI Number for Grace Jacqueline Desucre is 1215281092 and holds a License No. 016203 (New York).

The current practice location address for Grace Jacqueline Desucre is 161 Fort Washington Ave Fl 5, New York, NY and can be reached out via phone at 212-932-5169.

Location: 161 Fort Washington Ave Fl 5, New York, NY, 10509-6533
person
Provider Profile Details
NPI Number
1215281092
Provider Name
Grace Jacqueline Desucre
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
161 Fort Washington Ave Fl 5, New York, NY, 10509-6533
Phone Number
212-932-5169
Fax Number
Provider Enumeration Date
11/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
161 Fort Washington Ave Fl 5
City
State
Zip
10032-3729
Phone Number
212-932-5169
Fax Number
person
Provider Business Mailing Address Details
Address
161 Fort Washington Ave Fl 5
City
State
Zip
10032-3729
Phone Number
212-932-5169
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
016203 (New York)
Definition
Definition to come...
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