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Contact Information

GRACE VANDER MOLEN
1425 PORTLAND AVE
ROCHESTER, NY14621-3011
 Phone: 315-877-8764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for GRACE VANDER MOLEN · (Female)

NPI # 1376408567
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2025
Last updated 12/19/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 867833
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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