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

GRACE NICHOLE DEYOUNG, PA-C

Active

GRACE NICHOLE DEYOUNG, PA-C is a Physician Assistant healthcare provider located in GRANVILLE, New York. NPI 1912886755 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANVILLE, NY

Registration Details

NPI Number
1912886755
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2025 (0.96501310974781 yrs)
Last Updated
Oct 23, 2025
License
034341 (NY)

Practice Information

Address
79 NORTH STREET
GRANVILLE MEDICAL CENTER
GRANVILLE, NY, 12832
Browse NY providers · Browse ZIP 12832
Phone
5186420612
Fax
5186420693
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRANVILLE, NY

Name Credential NPI
W MARVIN DAY PA 1174591796
MALLORY C EDWARDS PA-C 1467876409
MICHELLE PARBUS 1952873259
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.