Provider Demographics
NPI:1295017853
Name:LEE- GRADY, FLORENCE LOUISE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:LOUISE
Last Name:LEE- GRADY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BROADWAY
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1304
Mailing Address - Country:US
Mailing Address - Phone:646-234-9701
Mailing Address - Fax:
Practice Address - Street 1:260 BROADWAY
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8433
Practice Address - Country:US
Practice Address - Phone:347-505-5119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker