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Grace Denicola
Specialist in Ronkonkoma, New York
NPI 1255069605

Grace Denicola is a Specialist based in Ronkonkoma, NY. Grace Denicola practices in Ronkonkoma, NY. The NPI Number for Grace Denicola is 1255069605 and holds a License No. 1633096221 (New York).

The current practice location address for Grace Denicola is 90 Air Park Dr, Ronkonkoma, NY and can be reached out via phone at 631-580-4001.

Location: 90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255069605
Provider Name
Grace Denicola
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Phone Number
631-580-4001
Fax Number
Provider Enumeration Date
08/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Air Park Dr
City
Ronkonkoma
State
New York
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider Business Mailing Address Details
Address
90 Air Park Dr
City
Ronkonkoma
State
New York
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1633096221 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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