Dr. Grace Lee Ker
Pediatric Critical Care Doctor
101 Nicolls Rd # Level11n
Stony Brook
, New York 11794-0001
Dr. Grace Lee Ker
Pediatric Critical Care Doctor
101 Nicolls Rd # Level11n
Stony Brook
, New York 11794-0001
(413) 794-5700
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Grace Lee Ker
- 280 Chestnut St 2nd Floor
- Springfield, MA
- Zip : 01199-1619
- Phone : (413) 794-5700
Second Address
- Dr. Grace Lee Ker
- 101 Nicolls Rd # Level11n
- Stony Brook, NY
- Zip : 11794-0001
- Phone : (631) 444-0650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 280790 | NY |
National Provider Identifier
| NPI | 1295025310 |
|---|---|
| Provider Name | Dr. Grace Lee Ker |
| First Address | Springfield, MA 01199-1619 |
| Second Address | Stony Brook, NY 11794-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2011 |
| Last Update Date | 08/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.