GRACE DAIN PARK NPI 1205677085

NPI Information

  • NPI: 1205677085
  • Provider Name: GRACE DAIN PARK
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 560 W 168TH ST
    NEW YORK, NY
    ZIP 10032
  • Phone: (212) 305-4318

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NPI Details

Grace Dain Park is a critical care medicine registered nurse in New York, NY. Grace Dain Park NPI is 1205677085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 W 168TH ST
NEW YORK, NY
ZIP 10032-917
Phone: (212) 305-4318

The enumeration date for this NPI number is 6/4/2024 and was last updated on 6/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine1045355TEXASNo
2163WC0200XRegistered NurseCritical Care Medicine881095NEW YORKYes

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: 3/30/2025

NPI Synchronization or Removal

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