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Contact Information

KATIE LEIGH GRADY, NP
179 N BELLE MEAD RD
EAST SETAUKET, NY11733-3528
 Phone: 631-444-2599
 Fax: 631-444-1474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATIE LEIGH GRADY · (Female)

NPI # 1689097412
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/30/2014
Last updated 05/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 306512
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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