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Contact Information

GRACE N DEYOUNG, PA-C
79 NORTH STREET
GRANVILLE MEDICAL CENTER
GRANVILLE, NY12832
 Phone: 518-642-0612
 Fax: 518-642-0693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GRACE N DEYOUNG · (Female)

NPI # 1912886755
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/27/2025
Last updated 10/23/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 034341
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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