Deane, Gratia C

Deane, Gratia C is an individual health care provider with primary practice located at 279 Troy Rd , Rensselaer NY 12144-9499. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Deane, Gratia C can be contacted via phone (518) 283-3021.

Contact Information

Primary practice address
279 Troy Rd Rensselaer NY 12144-9499
Phone: (518) 283-3021
Fax: (518) 283-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 35046 New York
Pharmacy Service Providers / Pharmacist 183500000X 17539 Massachusetts

Profile Details

NPI number 1104008440
LBN Legal business name Deane, Gratia C
Credentials R.PH.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104008440 NPPES
New York MEDICAID 01394852

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