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GRACE FAMILY MEDICAL PRACTICE PC NPI 1043232143


NPI Information

NPI: 1043232143
Provider Name: GRACE FAMILY MEDICAL PRACTICE PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
1222 E 96TH ST
2ND FL
BROOKLYN, NY
ZIP 11236
Phone: (718) 257-3355
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GRACE FAMILY MEDICAL PRACTICE PC is a legal medicine in Brooklyn, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. GRACE FAMILY MEDICAL PRACTICE PC NPI is 1043232143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1222 E 96TH ST
2ND FL
BROOKLYN, NY
ZIP 11236-903
Phone: (718) 257-3355
Fax: (718) 257-4562

The provider's authorized official is Bernadette Lizina Sheridan .
The authorized official title is Md and has the following contact phone number (718) 257-3355.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine149698NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103803192MEDICAIDNEW YORK
2149698-A16OTHERNEW YORKHEALTHFIRST
3160955OTHERNEW YORKELDER PLAN
40576775OTHERNEW YORKAETNA HMO
508P6021OTHERNEW YORK PRESBYTERIAN
60901918OTHERNEW YORKCIGNA
75462A1OTHERNEW YORKEMPIRE BC BS
8000109940101OTHERNEW YORKHEALTH PLUS
91043232143OTHERNEW YORKHEALTHCARE PARTNERS
101P1174OTHERNEW YORKHEALTHNET
1100778863MEDICAIDNEW YORK
12149698OTHERNEW YORKHIP
135760228OTHERNEW YORKAETNA COM
14172447OTHERNEW YORKWELLCARE
15311913OTHERNEW YORKUNITED HEALTH CARE
161000036958OTHERNEW YORKAFFINITY
17080412000004OTHERNEW YORKFIDELISCARE
181043232143OTHERNEW YORKEMBLEM HEALTH
19115438OTHERNEW YORKGHI HMO
205995872OTHERNEW YORKGHI
21P1078363OTHERNEW YORKOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.