MS. PERI DANA DEGRAZIA


Address: 103 5th Ave, Third Floor, New York, NY 10003-1009
Phone: 2123664765

MS. PERI DANA DEGRAZIA (NPI# 1396941969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396941969
Entity Type Individual
Full Name MS. PERI DANA DEGRAZIA
Other Name MS. PERI DANA JACOBSON
Credential CNM, WHNP
Practice Address 103 5th Ave
Third Floor
New York
NY 10003-1009
Mailing Address 103 5th Ave
Suite 3
New York
NY 10003-1009
Practice Telephone 2123664765
Practice Fax Number 2122291020
Mailing Telephone 2123664765
Enumeration Date 2007-06-21
Last Update Date 2009-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
F420853-1 NY Physician Assistants & Advanced Practice Nursing Providers
N 367A00000X Advanced Practice Midwife F001272-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY RN LICENSE NUMBER 565709-1 01
NY CNM LICENSE NUMBER F001272-1 01

Office Location

Street Address 103 5TH AVE
THIRD FLOOR
City NEW YORK
State NY
Zip Code 10003-1009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528149507 Jeffrey Allan Morrison Family Medicine 103 5th Ave, 6th Floor, New York, NY 10003-1009 2006-10-18
1760750954 Jaana Rehnstrom-blane Md PC Clinic/Center 103 5th Ave, New York, NY 10003-1009 2011-12-02
1518264894 Sevgi Ercan Nurse Practitioner 103 5th Ave, 6th Floor, New York, NY 10003-1009 2011-02-22
1083947808 Martha Macdonald-fennessy Nurse Practitioner 103 5th Ave, Third Floor, New York, NY 10003-1009 2009-09-11
1548346844 Jaana Viveca Rehnstrom Obstetrics & Gynecology 103 5th Ave, 3rd Fl., New York, NY 10003-1009 2006-10-29

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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