Graceful Dove, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRACEFUL DOVE, LLC

Practice address

4521 Arthur Kill Rd
Suite a
Staten Island, NY 10309-1315

Phone

(718) 552-5179

Fax

(718) 554-4069

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Victor Sedaros

Title

Director of Operation

Phone

(718) 552-5179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1457721482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091315",
            "telephone_number": "718-552-5179",
            "fax_number": "718-554-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 ARTHUR KILL RD",
            "address_2": "SUITE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091315",
            "telephone_number": "718-552-5179",
            "fax_number": "718-554-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL DOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "SEDAROS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "718-552-5179"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Rose Gousias, OT
• Margaret M Governo, RN NPP
• Gpaa Consulting Inc.
• Yisroel Grabie, DO
• Grace Medical LLC
• Diane Gracia
• Shannon Grady-Tarentino, OTR/L
• Maggie K Grady, MSED
• Mariangela Graffagnino
• Allen I Grafstein, D.D.S.

• Developmentally Disabled Services Day Training Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.