Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 297310 | NY |
NPI | 1285020271 |
---|---|
Provider Name | Grace Chow |
First Address | Great Neck, NY 11021-5302 |
Second Address | Great Neck, NY 11021-5302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 14/06/2019 |