Gracenell Phileen Jackson David
Orientation and Mobility Training Provider
784 Linden Blvd Apt 2c
Brooklyn
, New York 11203-3535
Gracenell Phileen Jackson David
Orientation and Mobility Training Provider
784 Linden Blvd Apt 2c
Brooklyn
, New York 11203-3535
(718) 781-2041
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About
Features
Specialties
- Orientation and Mobility Training Provider
Languages spoken
- English
Location
First Address
- Gracenell Phileen Jackson David
- 784 Linden Blvd Apt 2c
- Brooklyn, NY
- Zip : 11203-3535
- Phone : (718) 781-2041
Second Address
- Gracenell Phileen Jackson David
- 784 Linden Blvd Apt 2c
- Brooklyn, NY
- Zip : 11203-3535
- Phone : (718) 781-2041
Reviews
FAQs
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What is Gracenell Phileen Jackson David ’s gender?
Is Gracenell Phileen Jackson David a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225CX0006X | Orientation and Mobility Training Provider |
National Provider Identifier
| NPI | 1366115412 |
|---|---|
| Provider Name | Gracenell Phileen Jackson David |
| First Address | Brooklyn, NY 11203-3535 |
| Second Address | Brooklyn, NY 11203-3535 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2021 |
| Last Update Date | 26/07/2021 |
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.