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Jade Degrauw
NPI 1588175434 · on the registry since 2017 · sole proprietor
Practice
- Address
- 52 Candido Ave
Shirley, NY 11967 - Phone
- (631) 626-8222
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York