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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANN D GRACER, PHD

Active Sole Proprietor

ANN D GRACER, PHD is a Geriatric Psychologist healthcare provider located in FRESH MEADOWS, New York. NPI 1063407054 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychologist · FRESH MEADOWS, NY

Registration Details

NPI Number
1063407054
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2005 (20.924004140972 yrs)
Last Updated
Sep 11, 2025
Licenses
01778 (NY)
01778 (NY)
01778 (NY)
01778 (NY)
01778 (NY)
Sole Proprietor
Yes

Practice Information

Address
6724 165TH ST
FRESH MEADOWS, NY, 113653204
Browse NY providers · Browse ZIP 11365
Phone
7184634640
Fax
7184634655
Primary Specialty
Geriatric Psychologist
103TP2701X
Additional Specialty
Clinical Psychologist
Additional Specialty
Health Service Psychologist
Additional Specialty
Psychoanalysis (Psychologist)
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.