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Dr. William Russell Grace, MD
Specialist in New York, New York
NPI 1578565610

William Russell Grace is a Specialist based in New York, NY. William Russell Grace practices in New York, NY and has the professional credentials of MD. The NPI Number for William Russell Grace is 1578565610 and holds a License No. 108472 (New York).

The current practice location address for William Russell Grace is 945 Fifth Avenue, New York, NY and can be reached out via phone at 212-675-6826 and via fax at 212-366-1697.

Location: 945 Fifth Avenue, New York, NY, 10011-6600
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Provider Profile Details
NPI Number
1578565610
Provider Name
William Russell Grace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
945 Fifth Avenue, New York, NY, 10011-6600
Phone Number
212-675-6826
Fax Number
212-366-1697
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311391 01 NY MEDICARE PROVIDER ID
133086258 01 NY TAX ID #
NS3327 01 NY OXFORD ID
1578565610 01 NY NPI
institution
Provider Business Practice Location Address Details
Address
945 Fifth Avenue
City
State
Zip
10021-2661
Phone Number
212-675-6826
Fax Number
212-366-1697
person
Provider Business Mailing Address Details
Address
945 Fifth Avenue
City
State
Zip
10021-2661
Phone Number
212-675-6826
Fax Number
212-366-1697
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
108472 (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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