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Contact Information

ANN D GRACER, PHD
6724 165TH ST
FRESH MEADOWS, NY11365-3204
 Phone: 718-463-4640
 Fax: 718-463-4655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANN D GRACER · (Female)

NPI Number 1063407054
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/15/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 01778
  • NY Medicaid 01413547
  • NY Other 179302 MHN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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