Provider Demographics
NPI:1245240274
Name:WRIGHT, GRACE C (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:345 E 37TH ST
Mailing Address - Street 2:SUITE 303C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3256
Mailing Address - Country:US
Mailing Address - Phone:212-490-6960
Mailing Address - Fax:212-490-6966
Practice Address - Street 1:345 E 37TH ST
Practice Address - Street 2:SUITE 303C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-490-6960
Practice Address - Fax:212-490-6966
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY189127207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY643L41Medicare ID - Type Unspecified
G26501Medicare UPIN