Most Relevant Information
Provider Data
| NPI Number: | 1003373309 |
| Provider Name: | GRAZIELE HANSEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 6731501 |
Most Important Dates
| Enumeration Date: | 02/23/2019 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
617 WEST 168 ST
NEW YORK
NY
10032
Practice Location Phone/Fax
| Phone: | 2123055756 |
| Fax: |
Provider Mailing Location
617 W 168TH ST
NEW YORK
NY
100323925
Provider Mailing Phone/Fax
| Phone: | 2123055756 |
| Fax: |