Forde, Grace

Forde, Grace is an individual health care provider with primary practice located at 1991 Marcus Ave Ste M217 , New Hyde Park NY 11042-2040. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Forde, Grace can be contacted via phone (516) 233-2634.

Contact Information

Primary practice address
1991 Marcus Ave Ste M217 New Hyde Park NY 11042-2040
Phone: (516) 233-2634
Fax: (516) 233-2635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 207390 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 207390 New York
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 207390 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 207390 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 207390 New York

Profile Details

NPI number 1508861816
LBN Legal business name Forde, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 6th, 2023 - about last year

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 1508861816 NPPES
New York MEDICAID 01775795

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