THREE GRACES MEDICAL PRACTICE PLLC NPI 1831470939

NPI Information

NPI: 1831470939
Provider Name: THREE GRACES MEDICAL PRACTICE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2029084

Address:
550 E 180TH ST
BRONX, NY
ZIP 10457
Phone: (718) 933-0333
Get Directions

THREE GRACES MEDICAL PRACTICE PLLC is a family medicine in Bronx, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THREE GRACES MEDICAL PRACTICE PLLC NPI is 1831470939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 E 180TH ST
BRONX, NY
ZIP 10457-304
Phone: (718) 933-0333
Fax: (718) 933-0337

The provider's authorized official is Myra White .
The authorized official title is President and has the following contact phone number (718) 933-0333.

The CLIA number assigned to this NPI record is 33D2029084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 9/12/2011.

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	License Number	License State	Primary
1	208000000X	Pediatrics	176524	NEW YORK	No
2	207R00000X	Internal Medicine	176524	NEW YORK	No
3	207L00000X	Anesthesiology	176524	NEW YORK	No
4	207Q00000X	Family Medicine	176524	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F02326	MEDICARE UPIN	NEW YORK
2	01512445	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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