Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE R. GRANDVILLE, P.A.
ActiveGRACE R. GRANDVILLE, P.A. is a Physician Assistant healthcare provider located in E. SETAUKET, New York. NPI 1033382098 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · E. SETAUKET, NY
Registration Details
- NPI Number
- 1033382098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2008 (18.334999297717 yrs)
- Last Updated
- Apr 10, 2008
- License
-
012080 (NY)
Practice Information
- Address
-
181 BELLE MEAD ROADSUITE 5E. SETAUKET, NY, 11733Browse NY providers · Browse ZIP 11733
- Phone
- 6314442225
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.