| NPI | 1265934087 |
|---|---|
| Doing Business As | GRACEMDCONNECT |
| Entity Type | Organization |
| Authorized Contact | DEEPA SUKUMAR President 718-344-7062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME122569) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |