Grace Brack, COTA
Specialist in Middletown, New York
1619372984- Practice location
- 2277 Goshen Tpke, Middletown, NY 10941-4032
- Phone
- 845-692-4391
- Fax
- —
- Last updated
- October 29, 2014
Grace Brack is a Specialist based in Middletown, NY. Grace Brack practices in Middletown, NY and has the professional credentials of COTA. The NPI Number for Grace Brack is 1619372984 and holds a License No. 008505-1 (NY). The current practice location address for Grace Brack is 2277 Goshen Tpke, Middletown, NY 10941-4032 and can be reached out via phone at 845-692-4391.
Provider Profile Details
- NPI Number
- 1619372984
- Provider Name
- Grace Brack
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2277 Goshen Tpke, Middletown, NY 10941-4032
- Phone Number
- 845-692-4391
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 29, 2014
- Last Update Date
- October 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2277 Goshen Tpke
Middletown, NY 10941-4032 - City
- Middletown
- State
- New York
- Zip
- 10941-4032
- Phone Number
- 845-692-4391
Provider Business Mailing Address Details
- Address
- 2277 Goshen Tpke
Middletown, NY 10941-4032 - City
- Middletown
- State
- NY
- Zip
- 10941-4032
- Phone Number
- 845-692-4391
License Information
- License Number
- 008505-1
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Middletown, NY
View all Specialists in Middletown →Frequently Asked Questions
What is the NPI number of Grace Brack, COTA?
The NPI number of Grace Brack, COTA is 1619372984. It was assigned on October 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Grace Brack, COTA?
Grace Brack, COTA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 008505-1.
Where does Grace Brack, COTA practice?
The practice location is 2277 Goshen Tpke, Middletown, NY 10941-4032. The office can be reached at 845-692-4391 (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 1619372984 directly on the NPPES registry website.