Graceville Adult Day Care Center Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

GRACEVILLE ADULT DAY CARE CENTER INC.

Practice address

1415 Clintonville St
Whitestone, NY 11357-1825

Phone

(516) 606-3856

NPI assigned

Apr 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teresa Yee Wa Wu, L.ACNPI 1356677645

Title

Director

Phone

(516) 606-3856

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Yee Wa Wu, L.AC, DIPL O.M.

  • Acupuncturist
  • Woodbury, NY
  • NPI 1356677645
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461369600000",
    "number": "1225483555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971318",
            "telephone_number": "516-606-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CLINTONVILLE ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571825",
            "telephone_number": "516-606-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEVILLE ADULT DAY CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-23",
        "last_updated": "2016-04-23",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "YEE WA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-606-3856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawna Gonzalez
• Wendy Gonzalez
• Catherine Gorga, R.N.
• Teresamarie Governale, PA-C
• Sonya Grabowski, PT
• Stavros Grammatikopoulos
• Salvatore Greco
• Talia Greenberg, MS
• Brittany Gregor
• GSDS Inc. (Omi Physical Therapy)

• Exclusive Provider Organization in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.