MS. Terry Gravesande, RPA

NPI #1578794210 in Astoria, New York

Provider Information

NPI Number
1578794210
Entity Type
Individual
Name
MS. Terry Gravesande, RPA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
RPA
Enumeration Date
Jul 29, 2009
Last Updated
Jul 29, 2009

Practice Location

Address
4904 19TH AVE
ZIP Code
11105-1002
Phone
(718) 777-3494

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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