Gracer, Ann D
Gracer, Ann D is an sole proprietor health care provider with primary practice located at 6724 165Th St , Fresh Meadows NY 11365-3204. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Gracer, Ann D can be contacted via phone (718) 463-4640.Contact Information
Primary practice address
6724 165Th St
Fresh Meadows NY 11365-3204
Phone: (718) 463-4640
Fax: (718) 463-4655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 01778 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 01778 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 01778 | New York |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 01778 | New York |
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 01778 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 01778 | New York |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 01778 | New York |
Profile Details
| NPI number | 1063407054 |
|---|---|
| LBN Legal business name | Gracer, Ann D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063407054 | NPPES |
| New York | MEDICAID | 01413547 | |
| New York | Other | 179302 |
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