Dr. Grace L Ker, MD
Pediatrics, Pediatric Critical Care Medicine in Stony Brook, New York
1295025310- Practice location
- 101 Nicolls RD # Level11n, Stony Brook, NY 11794-0001
- Phone
- 631-444-0650
- Fax
- —
- Last updated
- November 8, 2019
Grace Lee Ker is a Pediatrics, Pediatric Critical Care Medicine based in Stony Brook, NY. Grace Lee Ker practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Grace Lee Ker is 1295025310 and holds a License No. 280790 (NY). The current practice location address for Grace Lee Ker is 101 Nicolls RD # Level11n, Stony Brook, NY 11794-0001 and can be reached out via phone at 631-444-0650.
Provider Profile Details
- NPI Number
- 1295025310
- Provider Name
- Grace Lee Ker
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Nicolls RD # Level11n, Stony Brook, NY 11794-0001
- Phone Number
- 631-444-0650
- Primary Taxonomy
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2011
- Last Update Date
- November 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Nicolls RD # Level11n
Stony Brook, NY 11794-0001 - City
- Stony Brook
- State
- New York
- Zip
- 11794-0001
- Phone Number
- 631-444-0650
Provider Business Mailing Address Details
- Address
- 280 Chestnut St
2ND Floor
Springfield, MA 01199-1619 - City
- Springfield
- State
- MA
- Zip
- 01199-1619
- Phone Number
- 413-794-5700
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 280790
- License State (2)
- NY
- Taxonomy (2)
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Critical Care Medicine providers near Stony Brook, NY
View all Pediatrics, Pediatric Critical Care Medicine providers in Stony Brook →Frequently Asked Questions
What is the NPI number of Dr. Grace L Ker, MD?
The NPI number of Dr. Grace L Ker, MD is 1295025310. It was assigned on April 11, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Grace L Ker, MD?
Dr. Grace L Ker, MD is registered under the primary taxonomy Pediatrics, Pediatric Critical Care Medicine (code 2080P0203X), licensed in NY under license number 280790.
Where does Dr. Grace L Ker, MD practice?
The practice location is 101 Nicolls RD # Level11n, Stony Brook, NY 11794-0001. The office can be reached at 631-444-0650 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295025310 directly on the NPPES registry website.